Please complete this form to allow The Agency of Change to claim Gift Aid on your donation. This increases the value of your donation by 25% at no extra cost to you.

Gift Aid is reclaimed by the charity from the tax you pay for the current tax year. Your address is needed to identify you as a current UK taxpayer.

I want The Agency of Change to treat all donations I have made in the last four years, and all donations I make in the future, as Gift Aid donations.

I confirm that 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 my donations in that tax year, it is my responsibility to pay any difference.

Please notify The Agency of Change if you:

want to cancel this declaration
change your name or home address
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.

Gift Aid Declaration