Pet Registration

1Introduction

2Owner

3Pet

4Declaration

5Payment

You can use this form to

Please note: You will need to complete a separate form for each pet you wish to register. Payment via Mastercard or Visa is required

Who can use this form

Residents of the Swan Hill Rural City Council municipality

While completing this form, we will request

Animal owners details
Pension details (if applicable)
Animal details including age and microchip number
Upload supporting documentation if you are applying for a reduced fee e.g desexed or working dog.
Please note restricted breed dogs, dangerous dogs or menacing dogs are not entitled to reduced fees.
Payment via Mastercard or Visa

It will take about 10 minutes to complete this form.

After you submit this form

We will send you an email receipt to confirm we have received your application
If the correct supporting documentation is not provided, registration will be declined and the applicant will be contacted within 7 working days of submission
Applicants will receive a registration certificate and a life time tag to their nominated mailing address

What happens with your information?

Information requested on this form is required by Swan Hill Rural City Council in order to process your application.

We will handle any personal information you provide on this form in accordance with the Privacy and Data Protection Act 2014. We record this information on our customer databases and make it available to relevant Council staff in line with our Privacy Statement.

You can access your personal information by contacting our Privacy Officer.

Owner details (Owner must be over 18 years of age)

First name(Required)

Surname(Required)

Date of birth(Required)

Phone(Required)For landline phones include area code ie. 03

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Age Calculation

You must be over the age of 18 to register a pet.

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Addresses

Residential address

Residential address(Required)

Street Address(Required) City* State(Required) Postcode(Required) Country(Required)

Is your postal address the same as your residential address?(Required)

Yes

Does your pet live at your residential address?(Required)

Yes

Postal address

Postal address(Required)

Street Address / PO Box(Required) City* State(Required) Postcode(Required) Country(Required)

Location of pet

Address where your pet is living(Required)

Street Address(Required) City* State(Required) Postcode(Required) Country(Required)

First name of property owner

Surname of property owner

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Pensioner discount

Centrelink Pensioner Card and DVA Gold Card holders are entitled to a 50% discount on pet registration fees.

Image of a Centerlink Pension card and a DVA Gold card

Image of a Centerlink Pension card and a DVA Gold card

Pensioner discount IS NOT applicable for:

Working dogs
not applicable

Restricted breed, dangerous or menacing dogs
not applicable

Seniors Card holders
not applicable

Centrelink Health Care Card holders

Do you have a Centrelink Pensioner Card or DVA Gold Card?(Required)

Yes

Pension card number(Required)

Upload a copy of your pension card (the side displaying your personal details)(Required)

Drop files here or

Accepted file types: jpg, jpeg, gif, png, pdf, heic, Max. file size: 4 MB, Max. files: 2.

Your pets

Do you have any animals currently registered with Council?(Required)

Please note: Under Councils Local Law you can only register 2 dogs and 2 cats in a residential area, otherwise you must apply for an excess animal permit.

Yes

How many dogs do you currently have registered?(Required)

How many cats do you currently have registered?(Required)

New animal registration

Pet's name(Required)

Age / Date of Birth(Required)

Microchip number(Required)

Pet type(Required)

Dog

Cat

Gender(Required)

Male

Female

Breed(Required)

Colour(Required)

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Rego start date

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Dog Section

Select dog registration required(Required)

Dog registration - Full price

Dog registration - Desexed

Dog registration - Over 10 years of age

Dog registration - Part of a domestic animal business or applicable organisation

Dog registration - Undergone training

Dog registration - Working dog

Dog registration - Restricted breed, dangerous or menacing

Select dog registration required(Required)

Pro rata rate applied (1 October to 31 December - 50% discount). Excluding restricted breed, dangerous or menacing dogs.

Dog registration - Full price

Dog registration - Desexed

Dog registration - Over 10 years of age

Dog registration - Part of a domestic animal business or applicable organisation

Dog registration - Undergone training

Dog registration - Working dog

Dog registration - Restricted breed, dangerous or menacing

Restricted breeds in Victoria are: American Pit Bull Terrier (or Pit Bull Terrier), Fila Brasileiro, Dogo Argentino, Japanese Tosa or the Perro de Presa Canario.

Applicable organisations include:

Australian National Cats Inc (ANCATS)
Dogs Victoria
Feline Control Council (Victoria) Inc (FCCV)
The Governing Council of the Cat Fancy Australia and Victoria Inc (GCCFV)
Master Dog Breeders Association (MDBA)
Responsible Pet Breeders Australia (RPBA)

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Cat Section

Select cat registration required(Required)

Cat registration - Full price

Cat registration - Desexed

Cat registration - Over 10 years of age

Cat registration - Part of a domestic animal business or applicable organisation

Select cat registration required(Required)

Pro rata rate applied (1 October to 31 December - 50% discount).

Cat registration - Full price

Cat registration - Desexed

Cat registration - Over 10 years of age

Cat registration - Part of a domestic animal business or applicable organisation

This field is hidden when viewing the form

Section Break

Registration fee

$ 0.00

Pension discount (50% off)

$ 0.00

Total

Proof required: Certificate or letter from your vet.
Other types of proof may be considered at the discretion of Council's Authorised Officers.

Proof required: Statutory declaration, letter from a vet, Council registration or documentation from a registered breeder.
Other types of proof may be considered at the discretion of Council's Authorised Officers.

Proof required: Copy of credentials.
Other types of proof may be considered at the discretion of Council's Authorised Officers.

Proof required: Working dog - a dog that herds, droves, protects, tends or works stock on land used solely or primarily for primary production. Statutory declaration, documentation to show the dog owner is a primary producer or uses the dog for employment purposes, or a tax invoice for the purchase stock. Other types of proof may be considered at the discretion of Council's Authorised Officers.

Upload supporting documentation(Required)

Drop files here or

Accepted file types: jpg, jpeg, gif, png, pdf, heic, doc, docx, Max. file size: 4 MB, Max. files: 2.

Declaration

Declaration 1(Required)

I declare that I am over the age of 18 years*

Declaration 2(Required)

I hereby apply for registration of the animal/s above and declare the information supplied is true and correct.*

Declaration 3(Required)

I understand that under the provision of the Domestic Animals Act 1994 it is an offence to knowingly provide false information. Up to 10 penalty units can apply.*

Declaration 4(Required)

I declare that the animal on this application is not a restricted breed. *

Declaration 5(Required)

I understand my registration application may be declined if sufficient documentation is not supplied.*

Full name(Required)

* indicates required field

Registration order

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Payment

Payment total

Credit Card

MasterCard

Visa

Supported Credit Cards: MasterCard, Visa

Card Number

Expiration Date Month Year

Security Code Cardholder Name

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