This form is required to be completed for all MobiQuip purchases made, where the price has been set as applicable for VAT relief. If you do not qualify for VAT relief please select the relevant price option.


If you are unsure whether you are exempt, please contact usĀ  or call us on 0800 118 2625 prior to purchasing your item.


Please note: we are unable to dispatch goods until this form has been completed or the VAT has been paid.


I declare that I am eligible for VAT Relief on purchases from MobiQuip.


HM Revenue and Customs allow certain products to be supplied exempt from VAT providing the goods are intended for the personal or domestic use of and individual who is “chronically sick or disabled”.


More details can be found at the HM Revenue and Customs website under VAT relief for disabled people; HMRC Reference: Notice 701/7


Please complete the form to confirm you are receiving the purchased goods from MobiQuip which are being supplied to you for your domestic or personal use and you claim relief from Value Added Tax.

Your Ebay User ID
If item was purchased on Ebay
First Name*
Last Name*
Please provide the name of the person who will be using the goods
Telephone Number*
Street Address*
Address Line 2
Please provide the address of the person who will be using the goods. Unless otherwise requested, your goods will still be delivered to your registered delivery address
I am chronically sick or have a disabling condition by reason of*
If other, please specify
Date of Order*
Please click the box to confirm your eligibility for VAT relief*
I declare I am eligible for VAT relief