and cats
ABN 42 686 389 537 – PO BOX 151, KYNETON VIC 3444
T 03 5422 0333 – F 03 5422 3623 – – www.mrsc.vic.gov.au
Animal Registration Form(10 April 2018–10 April 2019)
/ Dogsand cats
ABN 42 686 389 537 – PO BOX 151, KYNETON VIC 3444
T 03 5422 0333 – F 03 5422 3623 – – www.mrsc.vic.gov.au
Surname: / First name:
Residential address:
Postal address:
Phone (h): / Phone (w): / Mobile:
Email:
Animal #1 / Animal #2 / Animal #3
Type: / Dog Cat / Dog Cat / Dog Cat
Pet’s name:
Colour:
Breed:
Restricted breed: / Yes No / Yes No / Yes No
Sex: / Female Male / Female Male / Female Male
Age:
Desexed*: / Yes No / Yes No / Yes No
Dogs Vic/ FCC member*: / Yes No / Yes No / Yes No
Microchip number*:
Fee/s: / $ / $ / $
Concession no. / Expiry:
/ Dogs
and cats
ABN 42 686 389 537 – PO BOX 151, KYNETON VIC 3444
T 03 5422 0333 – F 03 5422 3623 – – www.mrsc.vic.gov.au
*Proof must be provided.
I, the undersigned hereby apply to Council for the registration of the animal/s described, knowing thata person making an application under the Domestic Animal Act must not give false information in the application.
Signature: / Date:Office Use Only / Animal #1 / Animal #2 / Animal #3 / Proof of sterilisation (witnessed)
Tag number
Pet Reference number / Proof of microchip (witnessed)
Fee code
Receipt number
Payment options
In person: present this form and payment (cash, cheque/money order, EFTPOS or credit card) at one of our offices.
By Mail: cheque or money order – payable to Macedon Ranges Shire Council, or complete Credit Card payment authorisation below. Mail this form and payment to PO BOX 151 KYNETON VIC 3444.
Mastercard / VisaI authorise you to charge the following amount to my credit card: $
Name on card:
Credit card number:
Expiry date (xx/xx): / Signature:
Credit card payment authorisation
Fees
Dogs
Desexed Dog
Obedience Trained Dog*
Dog Over 10 (proof required)
Registered animal business
Member Assoc*
Regular $45.50 / Pensioner $23
Working Dog (proof required)
Regular $45.50 / Pensioner $23
Entire Dog
Regular $135.50 / Pensioner $68
Dangerous Dog, Restricted Breed, Menacing Dog
Regular $500 / No pensioner discount
Guard Dog
Regular $135.50/ No pensioner discount
Guide Dog—No charge
Adopted from registered animal shelter
Initial registration fee $12.50
Cats
Desexed Cat
Cat Over 10
Cat Breeder
Registered animal business
Member Assoc*
Regular $39 • Pensioner $20.50
Entire Cat
Regular $111 • Pensioner $56
Adopted from registered animal shelter
Initial registration fee $12.50
*Applicable organisations
Note: In accordance with the Domestic Animals Act 1994, all cats and dogs over the age of 3 months must be registered and microchipped.
Important information
Emergency after hours service
Call Council on 5422 0333after hours in an emergency, such as a lost or found animal. The service will prioritise calls and any outstanding matters will be dealt with on the next working day.
Pensioners
Holders of eligible pension cards are entitled to a reduction as listed to the left. Please present your card in person at the time of registration. Health care card holders are not entitled to the discount.
Certificate of Registration
Once your registration fee is paid, your receipt will be deemed your certificate of registration. Your current yellow animal registration tag is not valid until payment is made.
Privacy
The personal information collected on this form is in accordance with the Domestic Animals Act 1994. The information will only be disclosed as permitted by law. To view Council’s privacy policy, visit mrsc.vic.gov.au. In the course of rescuing pets, we may need to pass phone numbers onto vets, animal aid shelters or other councils. If you have any concerns about this, contact Council’s Local Laws team. We aim to return your pet/s home quickly and safely.
Are your details correct?
If you move home, or your contact details change, you need to let Council know in writing.Remember to also keep your microchip details up to date. If you are unsure where your pets microchip is listed, visit petaddress.com.au
Replacement registration animal tags
Replacement animal ID markers (tags) can be obtained from any Customer Service Centre at a cost of $7.50per tag. Registration tags must be worn on animals when outside their owner’s premises, pursuant to the Domestic Animals Act 1994.
Documents
To be entitled to a reduced registration fee you must provide proof of sterilisation, microchip implant, membership of approved association, obedience papers, breeding licence, statutory declaration or tax return for proof of working dog status.
Excess animal permits
Permits must be obtained to keep more than two dogs and / or two cats per residential household on land up to 4000 square metres and more than four dogs / four cats on land greater than 4000 square metres.
State Government Levy
Registration fees include the State Government Levy of $3.50 per dog and $2 per cat, which is used primarily to fund responsible pet ownership education programs.
Penalties
Owners of unregistered animals may receive on-the-spot infringements for each animal. Random spot checks will occur after 10 April.
Use of unregistered tags
It is an offence under the Domestic Animals Act 1994 for an owner of an unregistered animal to wear a Council identification tag— infringements can apply.