the Pet Shop Application Form PDF file

Application for a Licence to Keep a Pet Shop
Pet Animals Act 1951
Instructions
This form can be used to apply for, or renew, a licence to keep a pet shop. Please note that
after your first successful application, you will be sent reminders when your licence needs to
be renewed.
Once you have completed the form, please post it to the address below with the licence fee.
For more information, including the fees and conditions associated with this licence please
visit our website or contact Environmental Health using the contact details below.
If you do not have enough space to complete any of the questions, please continue on a
separate sheet of paper.
Applicant’s details
1. Name
2. Phone number
3. Email address
4. If you have provided your email address, would you like to be
notified of the outcome of your application by email (as well as
receiving a paper copy of the licence if your application is
successful)?
5. Postal address
Yes

Information about the pet shop premises
6. Trading name
7. Contact at the premises
8. Address of the premises
9. Number and size of rooms
in which business will be
carried on
Environmental Health Services Manager, Woking Borough Council, Civic
Offices, Gloucester Square, Woking, Surrey GU21 6YL
Phone: 01483 743840
Email:
[email protected]
Fax:
01483 750585
Website: www.woking.gov.uk/licences
No

10. Heating arrangements
11. Method of ventilation of
the premises
12. Lighting arrangements
(natural and artificial)
13. Water supply
14. Arrangements for food
storage
15. Arrangements
disposal of excreta
for
the
16. Description of isolation
facilities for the control of
infectious disease
17. Details of fire precautions
and equipment
18. Name and address of
your usual veterinary
surgeon/practitioner
Information about the pets that are intended to be sold
Type of animals
19. Parrots
20. Pigeons
21. Other large birds
22. Budgerigars, finches
and other small birds
23. Dogs
24. Cats
25. Rabbits and cavies
26. Hamsters
Proposed
numbers
Details of accommodation
Age at which proposed
to be sold
27. Rats, mice and
gerbils
28. Snakes and lizards
29. Tropical fish
30. Marine fish
31. Cold water fish
32. Any other species
(please specify)
Applicant’s previous convictions
33. Have you ever been disqualified from keeping a pet shop or
convicted of any offence under the Pet Animals Act 1951, the
Protection of Animals Act 1911 or the Protection of Animals
(Scotland) Act 1912?
34. If yes, please provide details
Yes

No

Declaration
I am applying for a licence under the Pet Animals Act 1951 and enclose the relevant fee.
I hereby declare that I am not currently disqualified from keeping a pet shop.
I agree that an officer, veterinary surgeon and/or veterinary practitioner, authorised by the
Council, may inspect the premises which are the subject of this application before and/or after
any licence is granted.
I certify that to the best of my knowledge and belief, the above particulars are true.
I understand that the Council may also use this information within the Council to exercise
functions of a public nature in the public interest.
Signature
Date
Payment
You can pay the licence fee by calling the office and we can take payment via Debit or Credit
card. Tel number 01483 755855 ext 3664