Gift Aid Declaration for UK Taxpayers

Please complete this form to provide details for your Gift Aid declaration, thank you!

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Boost your donation by 25p of Gift Aid for every £1 you donate
Gift Aid is reclaimed by Queen Elizabeth's Hospital from the tax you pay for the current tax year.

I want to Gift Aid my donation and any donations I make in the future or have made in the past 4 years, to Queen Elizabeth's Hospital. I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all of my donations in that tax year it is my responsibility to pay any difference.

Please notify us if you want to cancel this declaration, change your name or home address, or no longer pay sufficient tax on your income and/or capital gains.

If you pay Income Tax at the higher or additional rate and want to receive the additional tax relief due to you, you must include all your Gift Aid donations on your Self-Assessment tax return or ask HM Revenue and Customs to adjust your tax code.

Yes, I would like Queen Elizabeth's Hospital, Registered Charity No. 1104871 to reclaim Gift Aid on my donation.

No, I would not like Queen Elizabeth's Hospital to reclaim Gift Aid on my donation, or I am NOT a UK taxpayer.

Please select at least one Gift Aid option