Application for a Licence to keep a Pet Shop
Pet Animals Act 1951
Redcar & Cleveland Borough Council
Licensing and Parking, Redcar and Cleveland House, Redcar, TS10 1RT
(T) 01642 774 774 DX No. 60028
Web: www.redcar-cleveland.gov.uk
Applicant Details
Surname
First Names
National Insurance Number
Date of Birth
Home Address
Home Telephone Number
Mobile
E-Mail
Postcode:
Premises Details
Trade name of business
Business Address
Telephone Number
Fax
E-Mail
Postcode:
RCBC/LIC/Pet Shop Application Form/2008
Number of rooms in which the business is to be carried on
Water Supply
Lighting
Heating Arrangements
Method of Ventilation
Schedule of Animals
Numbers
Type of Animals
(proposed)
Details of Accommodation
Age
(at sale)
Rabbits and Guinea Pigs
Gerbils, Hamsters, Rats and Mice
Budgerigars, Finches and other small birds
Parrots, Parakeets and Macaws
Chincilla, Chipmunk and Ferrets
Reptiles
Amphibians
Fish and Aquatic invertebrates
Other veterbrates
Trading Hours
Opening
Times
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Key Holder Details
Name and Address
Home Telephone Number
Mobile Number
Please sign declaration overleaf…
RCBC/LIC/Pet Shop Application Form/2008
I declare that to the best of my knowledge and belief the above information is true and correct.
Signed
Date
NOTES
Consultation regarding this application will be carried out by the Licensing Unit.
You may be asked to provide a risk assessment depending upon the nature of your
application.
If any part of the application is incomplete, the whole application will be returned to you and
this may cause unnecessary delay.
HOW WE COLLECT AND USE INFORMATION
The information collected, on this form and from supporting evidence, by Redcar and
Cleveland Borough Council will be used to process your application. The information may be
passed to the Department of Social Security, Employment Service and Inland Revenue as
permitted by law.
We may check information provided by you, or information about you provided by a
third party, with other information held by us. We may also get information from
certain third parties, or give information to them to check the accuracy of information,
to prevent or detect crime, or to protect public funds in other ways, as permitted by
law. These third parties include Government Departments and local authorities.
We will not disclose information about you to anyone outside Redcar and Cleveland Borough
Council nor use information about you for other purposes unless the law permits us to.
Redcar and Cleveland Borough Council is the Data Controller for the purposes of the Data
Protection Act 1998. If you want to know more about what information we have about you, or
the way we use your information, you can ask at; Licensing Unit, Belmont House, Rectory
Lane, Guisborough, TS14 7FD.
RCBC/LIC/Pet Shop Application Form/2008