Animal registration application

Postal Address PO Box 159 Caboolture QLD 4510

Community Response Ph: 07 3205 0555 Fax: 07 3205 0599

Internet www.moretonbay.qld.gov.au mbrc@moretonbay.qld.gov.au ABN: 92 967 232 136

Fees listed are applicable 1 July 2011 30 June 2012

Applicant details:
Mr/Mrs/Miss/Ms/Other: Postal address: Home number: Mobile number: Business/Work number: Full name:

Please list a contact number that can be released to a member of the public if they find your animal:

Animal details: (one animal per form)

Animal type: Dog Cat Animal name: Property address where animal is kept: Note: Written permission from the body corporate must accompany this application for all animals kept within a multi unit complex. Is there any other approval associated with this property? Is this a replacement animal? Dominant breed: Gold Grey Cream White No Breeders approval Tabby Cats: Tortoise shell Approval to keep in accordance with the local law Tag number: Yes name of animal replacing:

Secondary breed: Sable Brindle

Dominant colour: Brown Red Black Gender: Male Blue Female

Tricolour Secondary colour: Microchip number:

Date of birth / Age:

Total number of animals being kept on this property (including this animal): Dogs: Has the animal ever been declared dangerous by another local council authority? No

Yes (If yes, please attach details)

Registration renewal rates: (please select any relevant information below)

Desexed animal a copy of the certificate of sterilisation must be provided to be eligible for this renewal rate. Pensioner pensioner concession card number:

Obedience certified Obedience concession and certification application must be provided to be eligible for this renewal rate. Current member of recognised animal organisation copy of current membership card must be provided. Animal association membership number: Expiry date: Animals held under affiliated breeders permit. Permit number:

Exempt registration class: (please select any relevant registration class below)
Rural working dog letter stating what dog is used for and ABN must be provided. ABN: Assistance/service dog a letter from a recognised association must be provided to be eligible for this registration class. Foster animal a letter from a recognised organisation must be provided. Organisation:

Customer summary:
As the owner of this animal I am over 17 years of age. I declare that the application particulars are correct in every detail. Where I have applied for a concession, I authorise Centrelink and/or Veterans Affairs to provide such information as is necessary to determine my eligibility. Signature: Office use only Tag number:___________________________CSO:_____________________Date processed:______________________________ Receipt number:_________________________________Animal reference number:_______________________________________
Privacy statement Moreton Bay Regional Council is collecting your personal information for the purpose of registering your animal. The collection of this information is authorised under the Animal Management (Cats and Dogs) Act 2008. If nominated, your first name and best contact number may be given to a member of the public if they find your animal. Your information will not be given to any other person or agency unless you have given us permission or we are

Date:

R3

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January 12

required by law.

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Payment options:
In person Present this form at any of the Moreton Bay Regional Council Customer Service Centres: Caboolture: 2 Hasking Street, Caboolture Strathpine: 220 Gympie Road, Strathpine Redcliffe: Irene Street, Redcliffe By mail Please make all cheques/money orders payable to Moreton Bay Regional Council or complete your credit card details below and return the form with payment to council.

Credit card type:

MasterCard

Visa

Card number:

Expiry date:

Cardholder name: Signature: Amount payable: Receipt address:

Date:

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Registration information:
In order to minimise impacts upon koala habitat, restrictions apply to particular properties located in Desmond Street, Narangba, Samuel Way, Narangba or Steven Court, Narangba. Contact council for further information. All animals are to wear a current registration tag. Owners may also attach private identification tags. Lifetime tags will be issued at time of registration. Animal breeders Any registered animal that is used for breeding purposes (including one-off litters), are required to apply for an animal breeder permit.

Regulated dogs:
2011/2012 registration fees for regulated dogs Declared dangerous dog permit application and annual registration renewal fee Declared menacing dog permit application and annual registration renewal fee Restricted dog permit application and annual registration renewal fee $440.00 $220.00 $220.00 Japanese Tosa

The following breeds are defined as Restricted dogs under the Customs Act 1901 (Cwlth): Dogo Argentino Presa Canario Fila Brasileiro American Pit Bull or Pit Bull Terrier

First year animal registration fees (non-regulated dogs/cats):

The annual registration period is 1 October 2011 to 30 September 2012. Pro rata fees may apply see below: If animal registered between 05 August 2011 and 30 December 2011 01 January 2012 and 31 March 2012 01 April 2012 and 30 June 2012 1 July 2012 and 30 September 2012 Cost $20.00 $15.00 $10.00 $5.00 Registration paid to 30 September 2012 30 September 2012 30 September 2012 30 September 2012

Fee exemptions:
All dogs and cats over the age of 3 months must be registered; however the following dogs are exempt from a registration fee as defined in the Animal Management Act (Cats and Dogs) 2008. Assistance dogs A working assistance dog is a dog certified by a recognised organisation under the Guide, Hearing and Assistance Dog Act 2009. A letter must be provided from the recognised organisation to be eligible for this exemption. Examples of assistance dogs include a guide dog or guide dog in training, under Guide Dogs Australia; a disability assistance dog under Assistance Dogs Australia; or a hearing dog under Lions Hearing Dogs. Government entity (service) dogs A Government entity (service) dog is a dog owned by a government entity or a person engaged or employed by the entity; and used for a purpose under an Act of the Commonwealth or a State. Examples of service dogs includes a corrective services dog under the Corrective Services Act 2006; or a drug detection dog, explosives detection dog, defence forces or police dog Rural working dogs A rural working dog is a dog kept on rural land; and is kept by an owner who is a primary producer, or a person engaged or employed by a primary producer; and the animal is used primarily for the purpose of droving, protecting, tending or working stock, or being trained in droving, protecting, tending or working stock. To be eligible for this exemption, the property must be zoned rural, an ABN provided and customer must also provide a letter stating what the dog/s are used for.

Fee concessions:
Pensioners Pensioners with a Centrelink or Veterans Affairs card are eligible for a concession on their animal renewal. A current pension card number must be provided to be eligible for this concession (Seniors cards or Health Care cards are not eligible). Desexed animals Customers must provide a copy of the desexing certificate in order to receive the desexed animal renewal rate. Registration papers from another council may be accepted as proof of desexing. Obedience certified Animals that have been assessed by an accredited professional obedience assessor or animals that have been awarded a recognised Australia National Kennel Club obedience title may be eligible to receive a reduced animal renewal rate. The Obedience concession and certification application must be provided to council to be eligible for this concession. Current members of Dogs Queensland / Feline Control Council of Queensland Inc. / Queensland Independent Cat Councils Inc / Queensland Feline Association Inc / Council of Federated Cat Clubs of Queensland Inc Current members of a recognised association are eligible for a concession on registration renewals. Proof of membership must be provided to be eligible for concession.

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