PCV Contractor Declaration

Complete this once. You don't need to submit it again unless your ABN status or circumstances change

Date

Name

First Last

Address(Required)

Street Address Address Line 2 City State Postcode

Email(Required)

Used to match this contractor's declaration to future claims

Phone(Required)

Do you have an ABN?(Required)

Yes

ABN

"Before completing the Statement by a Supplier, please read the ATO's guidance to make an informed decision: ato.gov.au — Statement by a supplier (not quoting an ABN). Download the form from that page, complete and sign it, then upload it below."

File(Required)

Upload your completed Statement by a Supplier form

Accepted file types: pdf, jpg, jpeg, png, Max. file size: 5 MB.

PONY CLUB VICTORIA INC.

73–75 Mackie Road, Mulgrave VIC 3170 | ABN 64 320 020 091