EPS Nomination Form

Please tell us why you don’t pay for your prescriptions: A - is 60 years of age or over OR is under 16 years of ageB - is 16, 17 or 18 AND in full-time education.D - Maternity exemption certificate.E - Medical exemption certificate.F - Prescription pre-payment certificateW - HRT-only prescription pre-payment certificate.G - Ministry of Defence prescription exemption certificate.L - HC2 (full help) certificate.H - Income Support OR Income-related Employment and Support Allowance.K - Income-based Jobseeker's Allowance.M - Tax Credit exemption certificate.S - has a partner who gets Pension Credit guarantee credit (PCGC).U - Gets Universal Credit AND meets the necessary criteria.X - I pay for medicines but get my contraceptive medication FREE.I live in Wales or Scotland and so do not usually pay for my prescriptions.