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Emergency Contact Form

Please complete the emergency contact form below, this is so we have all the important information about the alarm user in the event of any alarm activation or emergency. Please make sure you include your medical history, as this is vital if we needed to link up with the ambulance service in the future.

Emergency Contact Form

Person who placed the order (account holder)


Alarm user details


Alarm user's doctors details


Alarm user's medical history


Medication/medical items we need to be advised of


Allergies to medicine


Blood thinners


Emergency contact 1

First person you would like us to contact in an emergency


Emergency contact 2

Second person you would like us to contact in an emergency


Emergency contact 3

Third person you would like us to contact in an emergency


Emergency contact 4

Fourth person you would like us to contact in an emergency


Emergency contact 5

Fifth person you would like us to contact in an emergency


Further Information

Please use this section if there is anything further to add to the alarm user's account.

 


VAT Exemption Form

 

PLEASE ONLY COMPLETE IF YOU ARE CLAIMING VAT EXEMPTION

Eligibility Criteria
:
Under UK law, you may be eligible for VAT relief if you have a physical or mental impairment that has a long-term and substantial adverse effect on your ability to carry out everyday activities, or if you have a chronic illness. VAT exemption also applies to products specifically designed for, or adapted for, use by disabled individuals. Learn more here

Declaration:
By completing this form, you are confirming that you qualify for VAT exemption under Group 12 of Schedule 8 of the Value Added Tax Act 1994. You agree that the equipment being purchased is for your personal use or the use of a person to whom you are legally responsible for.

Instructions:
Please complete the fields below with your personal details and the nature of your disability or chronic illness. This information is required to verify eligibility for VAT relief.