all information provided and statements made are truthful and accurate and no information likely to affect the outcome of this claim has been withheld.
the damaged property which is subject of this claim is owned by me/us.
Neither I nor any person claiming on my behalf have made a claim for this damage to anyone else (including an insurer) nor will I make such a claim if I accept any payment from Western Power in settlement of this claim.
Acknowledge and accept that:
Western Power will reply upon information supplied by me/us when determining this claim.
If, based on the information contained in this form, Western Power agrees to meet my/our claim, any payment received is in full and final settlement.