If you use assistive technology (such as a screen reader) and need a
version of this document in a more accessible format, please email firstname.lastname@example.org.
Please tell us what format you need. It will help us if you say what assistive technology you use.
Use this form where a company, or a permanent establishment of a company, in another member state of the EU receives interest or royalties from an ‘associated company’ in the UK to claim repayment of UK Income Tax or to apply for relief at source.