Form Dd4 PDF Details

Navigating the complexities of excise duty claims for fuel used in motor vehicles by qualifying organizations requires a thorough understanding of the DD4 form. This document serves as a claim for repayment of excise duty on fuel, specifically tailored for vehicles used in the transportation of passengers with disabilities. To make a claim, organizations must provide detailed information, including their tax reference number, vehicle registration, and the total number of litres of fuel used within a specified 12-month period. The form also requires information on the fuel type—whether unleaded, super-unleaded, diesel, or LPG—and mandates a declaration that the fuel claimed was solely for the transportation of passengers with disabilities. Key to a successful claim is the accurate recording of fuel receipts, detailing the name of the garage or filling station, date of purchase, and quantity of fuel purchased. With a cap on the repayment set at 4,092 litres annually, the form acts as a crucial tool for organizations looking to manage costs while providing essential transportation services. The DD4 form, issued by the Revenue Commissioners, underscores the government's commitment to supporting transportation services for passengers with disabilities, making it a vital document for qualifying organizations.

QuestionAnswer
Form NameForm Dd4
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesdd4 revenue dd4 form

Form Preview Example

CLAIM FOR REPAYMENT OF EXCISE DUTY ON FUEL USED IN MOTOR VEHICLES BY QUALIFYING ORGANISATIONS

(PLEASE COMPLETE IN BLOCK CAPITALS)

Qualifying Organisation’s

Tax Reference No.:

Name:

Address:

Telephone No.:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vehicle Registration No.:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1. Is this your first claim on fuel used in the above-mentioned vehicle:

Yes

(please tick appropriate box)

 

No

2.The 12 month period for which you are claiming ends:

3.Please enter the number of litres used in the vehicle during this period:

D D

M M

Y Y

Y

Y

4. Type of fuel used:

Unleaded

Super-Unleaded

Diesel

LPG

(please tick appropriate box)

 

 

 

 

5. Please enter the mileage reading on the vehicle as at the end of your claim period.

I hereby declare that all fuel, in respect of which this claim is made, was used in the above-mentioned vehicle solely on journeys for the transportation of passengers with disabilities.

Signature:Date:

Position in Organisation:

D

D

M M

Y Y Y Y

This claim, full completed, should be forwarded to:

DRIVERS WITH DISABILITIES (FUEL) SECTION CENTRAL REPAYMENTS OFFICE

REVENUE COMMISSIONERS

FREEPOST

M:TEK II BUILDING

ARMAGH ROAD

MONAGHAN

H18 YH59

TELEPHONE: Lo-Call 1890 60 60 61

NOTE: A repayment of excise duty is granted on fuel used, up to an annual maximum of 4,092 litres.

PLEASE SEE OVERLEAF FOR FURTHER DETAILS

DD4 (Revision 4)

RPC006964_EN_WB_L_1

Please note that the following details should be accurately recorded on each receipt which you submit as part of your claim:

1.The name of the garage/filling station where you purchased the motor fuel.

2.The date of purchase.

3.The quantity of fuel purchased, in litres.

Details of the fuel in respect of which repayment is claimed is as set out by me below:

Garage

 

 

 

Date

 

 

 

Litres

 

 

 

 

 

 

 

 

 

 

 

D

D

M

M

Y

Y

Y

Y

 

 

 

 

 

 

 

 

 

 

 

 

D

D

M

M

Y

Y

Y

Y

 

 

 

 

 

 

 

 

 

 

 

 

D

D

M

M

Y

Y

Y

Y

 

 

 

 

 

 

 

 

 

 

 

 

D

D

M

M

Y

Y

Y

Y

 

 

 

 

 

 

 

 

 

 

 

 

D

D

M

M

Y

Y

Y

Y

 

 

 

 

 

 

 

 

 

 

 

 

D

D

M

M

Y

Y

Y

Y

 

 

 

 

 

 

 

 

 

 

 

 

D

D

M

M

Y

Y

Y

Y

 

 

 

 

 

 

 

 

 

 

 

 

D

D

M

M

Y

Y

Y

Y

 

 

 

 

 

 

 

 

 

 

 

 

D

D

M

M

Y

Y

Y

Y

 

 

 

 

 

 

 

 

 

 

 

 

D

D

M

M

Y

Y

Y

Y

 

 

 

 

 

 

 

 

 

 

 

 

D

D

M

M

Y

Y

Y

Y

 

 

 

 

 

 

 

 

 

 

 

 

D

D

M

M

Y

Y

Y

Y

 

 

 

 

 

 

 

 

 

 

 

 

D

D

M

M

Y

Y

Y

Y

 

 

 

 

 

 

 

 

 

 

 

 

D

D

M

M

Y

Y

Y

Y

 

 

 

 

 

 

 

 

 

 

 

 

D

D

M

M

Y

Y

Y

Y

 

 

 

 

 

 

 

 

 

 

 

 

D

D

M

M

Y

Y

Y

Y

 

 

 

 

 

 

 

 

 

 

 

 

D

D

M

M

Y

Y

Y

Y

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Litres:

 

 

 

 

 

 

 

 

 

 

 

Signature:

 

Date:

 

 

 

D D

M M

Y Y Y Y

Continuation sheets are available on request from the address overleaf.

Designed by the Revenue Printing Centre

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