Ersatztablett (20% Rabatt)

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I declare that I or a family member are ‘chronically sick or disabled’ and the goods are being used for their or my personal use and I claim relief from VAT.
I confirm that the person who is 'chronically sick or disabled' is a person with a physical or mental impairment which has a long term and substantial adverse effect upon his or her ability to carry out everyday activities and a condition which the medical profession treats as a chronic sickness.
If you are unsure you should seek guidance from your GP or other medical professional.

Mine or my family member's chronic disability or chronic sickness is e.g. dementia

Name of Chronically Sick or Disabled Person

Address of Chronically Sick or Disabled Person