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VAT Exemption Form

DC Battery Technologies (LTD)

DC Power House, 25 Earlstrees Road, Earlstrees Industrial Estate, Corby, England, NN17 4AZ

If you are in any doubt as to whether you are eligible to receive goods or services zero-rated for VAT please refer to Customs & Excise Notice 701/7 ‘VAT reliefs for disabled people’. For further advice you can also contact HM Revenues & Customs’ (HMRC) National Enquiries line on 0845 010 9000 before signing this declaration.  Please complete every section below.

Warning: Section 39.2 of the VAT Act 1983 provides serious penalties for anyone who makes use of a document which they know to be false for the purpose of obtaining VAT relief.


DC PowerStore VAT Exemption Form

I declare that I am the person whose details appear above and that I am chronically sick or have a disabling condition by reason of that which is stated above.

I declare that I am receiving from Battery Store (UK) Ltd (of the address at the top of the form) the following goods which are being supplied to me for domestic or my personal use

By clicking “Submit” you


  • You declare that you are receiving from DC Powerstore the following goods which are being supplied to you for domestic or personal use.
  • You declare that you claim relief from Value Added Tax (VAT) under Group 14 of The Zero Rated Schedule of the Value Added Tax Act 1994.
  • If you are completing the form on someone else’s behalf, that the intended recipient’s details are correct and you must state your full name in appropriate field for identification purposes.