Form for VAT FREE goods and services supplied to persons suffering from Alopecia (Totalis and Areata), Post- Operative Hair Loss and Chemotherapy treatment for their own personal use. If you are in any doubt as to whether you are eligible to receive goods or services zero-rated for VAT you should consult Notice 701/7 VAT reliefs for disabled people available at www.hmrc.gov.uk or by contacting the VAT Disabled Reliefs Helpline on 0300 123 1073 before signing the declaration. VAT relief claims can only be considered on purchases of wigs and qualifying hairpieces and cannot be reclaimed for accessories or aftercare products. Please note there are penalties for making false declarations.