Odometer GPC Declaration Confirm the use of your GPC supplied vehicle. Contact / Driver Name * Payroll number Site/Department/Store Vehicle Registration * Phone Email Address * Date of disposal/End FBT * Date E.g., 25-02-2025 Odometer * Type of usage * Unrestricted private use Restricted private use Do you want to declare any days unavailable? No Yes Days Unavailable Order Date * Empty 'End date' values will use the 'Start date' values. Date E.g., 25-02-2025 to: * Date E.g., 25-02-2025 Description Garaged location Garaged contact person Weight for row 1 0 Do you want to declare any personal contributions? No Yes Personal contributions Order Date paid * Date E.g., 25-02-2025 Description Amount ($) inc GST Weight for row 1 0 I declare that restricted “Private Use” conditions that apply to the afore-mentioned motor vehicle in accordance with Company Policy Yes Private use datesI declare that the afore-mentioned vehicle driven by myself between the dates below, was used for work related travel and that any “Private Use” was only minor, infrequent and irregular or was travel to/from work Private use dates E.g., 25-02-2025 to: Private use dates E.g., 25-02-2025 Empty 'End date' values will use the 'Start date' values. Empty 'End date' values will use the 'Start date' values. Submit Submit
