Application for Registration of Domestic Animal(s)

For year ending I O April 2021 DOMESTIC ANIMALS ACT

All dogs and cats three months of age or older must be rezistet"ed, The owner of a dog or cat who fails to register his/her animal may be liable to an on•the-spot fine for each unregistered animal.

Registered owners must be 18 years or age or older.

GREATER SHEPPARTON

ENQUIRIES: (03) 5832 9700

Owner's Details

Surname: DOB:

Given Name/s:

Address:

Town: Postcode:

TeleMione No: 1Home1 IWo~

Mobile: Altemative Contact:

Email:

Address where animal is kef!_t if different irom above:

Town: Postcode:

Animal I Animal 2

Animal Ty#)e (tick one box) Dog D Cat D Dog D Cat D Sex (tick. one box) Female D Male D Female D Male D *Desexed (tick one box) Yes D No D Yes D No D Breed

Colour/Marks

Animal's Name

Microchip Number . . . . . . . .

-

--- --- --- --- --- --- --- --- --- ---

Age of Anlmal (or dote of birth)

Wm this animal be used Yes D No D Yes D No D for breeding?

Are you registered as a Domestic D Yes D No I DAB No: Animal Business?

Has your dog/s been declared? Restricted D I Dangerous D I Menacing D Office Use Only - Input Officers Initials:

Registration Fee $ $ (see reverse)

Registration Tag Number (ID Morlcer)

Received Copy of Certificate of Sterilisation (or approved association

Yes D No D Yes D No D membership) (AppHes to dogs & cats)

Pension Card No. Foster Care No. l (Health Care Card not eligible)

For further information on registration, fees and payment options please see reverse.

D I declare that the dog(s) identified in this application hove been correctly indicated as to whether they are, or are not, of a restricted breed. [Restricted breeds are as follows - a Pitbull Terrier or American Pitbu/1 Terrier, Fila Brasileiro, Doga Argentino, Japanese Toso or Perro de Presa Canario.]

D I dee/ore that the dog (s) identified in this application are correctly indicated as to whether they are a menacing, dangerous or restricted breed dog (s).

D I declare that to the best of my knowledge and belief all the above information is true and correct.

Date: ............................................................ Signed· ............................................................................................ Name: ............................................................................................... .

*PLEASE NOTE: A copy of certificate of sterilisation or approved association membership must accompany this application to receive the reduced fee.

Payment I Animal registrations are due by 5.00pm on I O April 2020 Due

Fees

Reduced Fees

(conditions apply)

More Information

Documents

Fees * Dogs * Cats

Maximum $140

Maximum pensioner $70

Reduced fee $40

Reduced fee pensioner $20

Declared dog $140 (Dangerous - guard dog)**

Pe-.la1 ed dog $300 f) ~coos. Mei..:-,,, T?es• ::'~ct !l,-~) ..

Animal Shelter or Pound $7 Adoption (initial registration onl~ conditions apply)

FCJ;ter Care $7 (,r,,toal <e);i'ilrA otly, qni~Jons JPr

* Includes State Government Levy

$140

$70

1-1.,

$20

$4

$4

Once your registration fee is paid this notice will be deemed to be )'Our certificate of registration.

Reduced fees apply only to those animals which fit under one of the follooing categories: • Desexed and Microchipped dog or cat. • Dog or cat over I O years old. • Dog or cat kept for breeding by the proprietor of a domestic

animal business conducted on registered premises. • Dog or cat registered with an applicable organisation, if the

owner is a member of the applicable organisation with which the animal is registered.

• Dog kept or used as or being trained to be farm working dogs. • Dog that has undergone dog obedience training provided

by or on behalf of an approved dog obedience training organisation.

• Dog that is permanently identified in the prescribed manner (Game Management Authority).

** Declared Dogs Dogs declared Dangerous (Guard dog), Dangerous, Menacing or restricted breed are not entitled to any discount or other category of registration.

For more information on Animal registration, applicable fees and discounts, applicable organisations, approved dog training organisations, working dog status, foster care, domestic animal businesses, required documentation, Council Local Laws and animal management legislation, please visit Councils website www.greatershepparton.com.au

The owner of the animal must produce sufficient written proof of desexing, microchip implant, applicable organisation certificates and membership, domestic animaf business registration, approved dog obedience certificate, working dog status documentation and d&lared dog documentation, as applicable.

Animal Shelter or Pound Adoption

All animals adopted from an Animal Shelter or Counal Pound that is a Registered Domestic Animal Business with a Victorian Council will receive a reduced fee for the initial registration period only. if the animal is registered within 28 days of adoption. Written evidence of date of adoption, adoption agency details, desexing and microchipping must be provided.

Replacement I Replacement registration tags are available from the Tags Council Office. A fee is payable.

Multiple Dogs and Cats

Shepparton Animal Shelter

Microchipping

Requirement to Desex

Cats

Dog Desexing Requirements

Council's Local Law No I and Council's Planning Scheme regulates the number of animals that can be kept at a property within the municipality. A Local Laws permit or Planning permit may be required.

The Shepparton Animal Shelter is located in Wanganui Road, Shepparton. The shelter can be contacted by telephone (03) 5832 9700. Please visit www.greatershepparton.com.au for opening hours or further information.

All new applications to register a dog I cat will not be accepted unless the dog I cat has been implanted with a microchip (of which proof must be provided). This includes dogs I cats moving into the municipality from another Council. However it does not include currently re~stered dogs I cats within Greater Shepparton City Council.

Greater Shepparton City Council requires all cats within the Municipal District to be desexed prior to registration unless exempt under the Domestic An;mals Act 1994 Part 2 I OB.

To be eligible for a reduced fee rate for dog registration, your dog must be desexed and microchipped. Greater Shepparton City Council will register an undesexed dog that is microchipped, however the full maximum fee will apply. Proof of desexing and microchipping is required at time of registering dog, to receive the reduced fee.

Foster Care I Foster Carers who choose to enrol with Council in the Foster Care scheme may be eligible to receive a reduced registration rate for the first 12 months the animal is in their care.

New Legislation I For information on legislation changes for breeders, Domestic Animal Businesses and Pet Exchange register; contact Counci I.

Privacy Statement

The personal information provided and/or requested on this form is being collected by the Council for Animal Registration purposes. It will be used solely by the Council for that primary purpose or directly related purposes. Owners may apply to the Council for access to or amendment of the information.

PAYMENT tft In Person • Please present this application in person with your payment and all required documentation to either of the following:

Greater Shepparton City Council Offices 90 Welsford St Shepparton VIC 3630 8.15am to 5.00pm Monday to Friday

or

Shepparton Animal Shelter 12.5 Wanganui Rd Shepparton VIC 3630 Visit www.greatershepparton.com.au for opening hours

0 Printed an recycled paper.