Application for Cat and Dog Registration

Application for Cat and Dog Registration
DID YOU KNOW? You can now apply to register your pet online? Visit www.wyndham.vic.gov.au/petrego
All registrations must be renewed by 10 April each year
Domestic Animals Act 1994
All dogs and cats three months of age or older must be microchipped and registered. Prior to registering your cat it must be desexed (see back of this form for more info). The owner of a
dog or cat who fails to register his/her animal may be liable to an infringement for each unregistered animal.
ENQUIRIES: 03 9742 0777
Owner’s Details:
Mr/Mrs/Ms/Miss
Given Name:
____________________________
Owner’s Date of birth: ____________________________
Surname: ______________________________________________
(Owner must be over the age of 18)
Address: ______________________________________________________________________________________________________________
Suburb: _________________________________________________________________________ Postcode: _________________________
Email Address: ____________________________________________________________________ ____________________________________
Telephone: (home)
__________________________
(work) __________________________
(mobile) ____________________________
Owner’s Previous Address (if applicable): ____________________________________________________________________________________
Suburb: _________________________________________________________________________ Postcode: _________________________
Pet’s Address:
Address where pet(s) is/are to be kept: (if different from above)
Address type where the pet(s) is/are to be kept at: (tick one box)
Pet(s) Details:
 Tick One Box Only
Pet 1
Type
Dog
Restricted* / Menacing / Dangerous
Yes
Sex
Female



Yes

Desexed
Copy of Certificate Required
 Residential Property  Commercial Property (Guard Dog – see reverse)
Pet 2
Male



No

Cat
No
Female



Yes

Dog
Yes
Pet 3
Male



No

Cat
No
Female



Yes

Dog
Yes
Male



No

Cat
No
Breed
Colour/Marks
Pet’s Name
Date of Birth of Pet
Microchip Number
Number MUST be provided
Office Use:
Tag Number
Animal Identification (Proclaim No)
*Restricted breed - Pit Bull Terrier, American Pitt Bull Terrier, Fila Brasilero, Dogo Argentino, Japanese Tosa, Perro de Presa Canario or Presa Canerio.
Pensioner:
 Centrelink Pensioner Concession Card (Blue)
 Dept of Veterans Affairs Repatriation Health Card (Gold)
Card Number: __ __ __ __ __ __ __ __ __ __
Expiry Date:
__________________
Declaration:
By lodging this application to register, I declare that all information provided is, to the best of my knowledge, true and correct. If I am
registering a dog I declare that it has been correctly indicated on this application as to whether they are, or are not, a restricted
breed or has been declared menacing or dangerous. I understand it is an offence to provide false information and penalties apply .
I understand that this registration is valid until 10 April 2018, at which time I am required to pay the registration renewal
provided by Council.
Name:
Signed:
Date:
RETURN COMPLETED FORM TO: Wyndham City Council, PO Box 197 Werribee 3030 OR 45 Princes Hwy Werribee 3030 OR email [email protected]
Registration Renewal Fees:
Pet Registration Renewals are sent to owners at the beginning of March each year. Pet owners must ensure that payment is made
to Council before 10 April. Below are current pet registration fees valid until 10 April 2018.
Microchipped Dogs
Regular Fee
Pensioner Fee
Desexed Dog
Non Desexed
(Proof Required)
- Members of applicable organisations
- Working Dog
- Over 10 Years Old
$ 50.00
$ 23.00
$ 50.00
$ 23.00
$154.00
$222.00
FREE
$ 55.00
$222.00
FREE
Regular Fee
$ 22.00
Pensioner Fee
$ 11.00
$ 37.00
$ 18.50
- Detrimental to Health
Non Desexed Dog
Dangerous / Menacing / Restricted Breed Dog / Guard Dog
Custom/Guide Puppy Training & Bona Fide Guide Dog
Microchipped Cats
Desexed Cat
Non Desexed
(Proof Required)
- Members of applicable organisations
- Over 10 Years Old
- Detrimental to Health
A State Government levy from the fees collected ($2.50 for each cat registration and $3.50 for each dog registration) is used to fund responsible pet
ownership programs.
Evidence of Microchipping and Desexing
Microchipping
Microchip number must be provided.
Desexed cat or dog
A copy of the desexing certificate from a qualified Vet.
Non Desexed cat or
dog
CATS: Desexing is mandatory for cats being registered in Wyndham. The exemptions to this are if:
 Your cat is over 10 years' old; or
 The owner is registered as a domestic animal business (evidence must be provided); or
 It is detrimental to the cat’s health (evidence such as written advice from a qualified Vet must be
provided); or
 The owner is member of, and the cat is registered, with one of the following organisations (A copy of a
document or letter confirming the owner’s current membership and animal’s registration must be
provided) - Australian National Cats Inc., Cats Victoria Inc., Feline Control Council (Victoria) Inc. or The
Governing Council of the Cat Fancy Australia and Victoria Inc.
DOGS: Desexing is not mandatory for dogs being registered in Wyndham, however you will not receive the
discount for having a desexed dog unless:
 You have a working dog, kept for working stock (evidence must be provided on letterhead by the
proprietor of the business/stock or some proof that the dog is used daily for working stock or be a current
financial member of Dogs Victoria where a current copy of your membership card must be provided); or
 Your dog is over 10 years old; or
 The owner is registered as a domestic animal business (evidence must be provided); or
 It is detrimental to the dog’s health (evidence such as written advice from a qualified Vet must be
provided); or
 The owner is member of, and the dog is registered with, one of the following organisations (evidence
must be provided, for example, a copy of your current membership card) - Australia Association of
Professional Dog Trainers Inc., Delta Society of Australia, The Gentle Dog Trainers Association Inc., Dogs
Victoria, Top Dog K9 Training Academy or Four Paws K9 Training.
Lifetime Registration Tag
As part of this application you’ll receive a lifetime registration tag which must be worn by your pet. The tag will be mailed to you
within 7 days of your registration being received.
Guard Dogs on Commercial Property
A dog that is kept for the purpose of guarding non-residential premises is automatically a dangerous dog under the Domestic
Animals Act 1994. Once a dog is deemed a dangerous dog it cannot be revoked - the dog is a dangerous dog for life, even if it
ceases to be used for the purpose of guarding non-residential premises.
Change of Details
In the future, if you change any of your contact details, address or no longer have your pet, please advise Council in writing so that
we can amend our records. Email [email protected] or call 03 9742 0777.
Privacy Statement
Your personal information is being collected by Council for Pet Registration and in in accordance with Section 18 of the Domestic
Animals Act 1994. Your information will be stored in Council’s Customer Database and used to identify you when communicating
with Council and for Council to deliver services and information to you. For further information on how your personal information
is handled, visit Council’s Privacy Policy on Council’s website.
RETURN COMPLETED FORM TO: Wyndham City Council, PO Box 197 Werribee 3030 OR 45 Princes Hwy Werribee 3030 OR email [email protected]