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To ensure you do not incur any unnecessary GST liabilities on this claim please complete the following:
On receipt of the account for replacement please pay the repairer direct OR forward cheque to me/us. If the windscreen has already been replaced please attach your account receipt.
If these questions do not cover all the facts of the accident please attach supporting documentation.
I declare that the above is a true statement of the facts and all matters relating to this claim.