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Get Reassure Form D1

Along with the appropriate evidence. You must provide a complete and accurate response to this questionnaire. If you make a false statement or representation whether fraudulently or negligently, you may become liable to a penalty from HM Revenue & Customs (HMRC). Failure to return this questionnaire may result in the deferment of the payment of your benefits. If you are in doubt as to the relevance of any particular information, you should disclose it as failure to do so might affect the benefit.

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