2016 AU E67-2026

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The document is a form from the Government of Western Australia, specifically the Department of Transport, for declaring the Motor Injury Insurance Class for vehicles. It includes sections for vehicle owner details, vehicle particulars, and various classes of motor vehicles with specific definitions. The form requires a declaration to be signed by the applicant and witnessed, emphasizing the importance of accurate information to avoid legal penalties.

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Click ‘Get Form’ to open the 2016 AU E67 in the editor.
Begin by filling out the 'Vehicle Owner Details' section. Enter your first name, last name, and phone number accurately.
Next, move to 'Company/Organisation Details' if applicable. Provide the name and ACN of your company.
In the 'Vehicle Particulars' section, input the plate number, year of manufacture, make and model, body type (e.g., sedan), VIN/chassis number, and engine number.
Select the appropriate 'Nominated Motor Injury Insurance Class' by ticking the box that corresponds to your vehicle's classification.
On page 2, complete the declaration by entering your last name, other names, address, occupation, and signing where indicated. Ensure a witness signs as well.

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Versions	Form popularity	Fillable & printable
2020	4.9 Satisfied (44 Votes)
2018	4.4 Satisfied (173 Votes)
2016	4.3 Satisfied (164 Votes)
2015	4.3 Satisfied (70 Votes)

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