Animal Registration - Change of Details

Animal Registration - Change of Details
Team Name
Please complete within 7 days to advise any change of details for your animal’s registration. Do not use this form to change animal ownership. Please complete the Animal Registration Transfer of Ownership form.
Current Animals Registered

Please complete this section with your animals registration information
Registered Owners Name
Address
Animal 1
Pet Type:

DogCat
Animal Registration Number
Pets Name
Registration Tag Expiry
Animal 2
Pet Type:

DogCat
Animal Registration Number
Pets Name
Registration Tag Expiry/Number
Animal 3
Pet Type:

DogCat
Animal Registration Number
Pets Name
Registration Tag Expiry/Number
Change of registration

Please complete this section to advise of a deceased animal
Animal 1 Date of Death: (if known)

DayMonthYear
Date
Animal 2 Date of Death (if known)

DayMonthYear
Date
Animal 3 Date of Death (if known)

DayMonthYear
Date
Change of details

Please complete this section if you have moved or have updated your contact information
New Address
Contact Phone Numbers:
Home
Please enter a valid phone number.
Mobile
Please enter a valid phone number.Format: 0000 000 000.
Work
Please enter a valid phone number.
Email
example@example.com
Are you transferring your animal’s registration to another Local Government?

YesNo
If yes please advise which Local Government you are transferring to.
Is there any other information for your animals registration not specified above that requires updating? If so please provide details below.
Registered Owner or Agent
Signature*

Clear
Date*

DayMonthYear
Should be Empty:

Animal Registration - Change of Details

Current Animals Registered

Animal 1

Animal 2

Animal 3

Change of registration

Change of details

Contact Phone Numbers:

Registered Owner or Agent