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The document is a claim form for the repayment or remission of customs charges, including import duty, VAT, and excise duty, on rejected imports that are defective, damaged, or not in accordance with the contract. It outlines the necessary steps to complete the claim, including providing applicant details, reasons for rejection, supporting documents, and bank account information for repayment. The completed form must be submitted to HM Revenue and Customs (HMRC) 48 hours prior to disposal of the goods.

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