Dog Registration Amendment Form

IMPORTANT! Use this form to update the details associated with a single dog registration.

TO AMEND YOUR PRIMARY NAME, ADDRESS AND/OR CONTACT DETAILS, REFER TO THE NOTIFICATION OF CHANGE OF DETAILS FORM.

Animal Owner Details

The applicant requesting the change of details must be the current registered owner.

Given Name *

Surname *

Primary Phone *

Secondary Phone

Email address *

Registered Animal Details

To update more than one registered animal, please submit a separate form for each animal.

Animal Name *

Please supply one of the following numbers to identify the animal record:

Animal ID Number

Microchip Number

Tag Number

I understand that the following details will be updated for Animal Registration purposes only. *

TO AMEND YOUR PRIMARY NAME, ADDRESS AND/OR CONTACT DETAILS, REFER TO THE Notification of Change of Details Form.

Postal Address (for Animal Registration purposes only) *

I understand that this postal address will be added to my Animal Registration record for Animal Registration purposes only. *

Select animals details you would like to change:

Postal address to receive renewal noticesSterilisation/DesexedDeceasedNo longer resides in the Mareeba ShireAddress where dog is keptReplacement tag - a Customer Service Officer will contact you for paymentKennel Club or Canine AssociationOther

DO YOU KNOW YOU CAN RECEIVE YOUR ANIMAL RENEWAL NOTICES VIA EMAIL? Please see below for details.

Renewal Notice postal addressPlease ensure suburb is specified.

Proof of Desexing *

Browse

Please attach certificate of sterilisation/desexing unless you've previously provided this information.

Deceased Date *

Address where dog is kept *

Proof of Concession *

Browse

Please attach proof of Kennel Club or Canine Association membership

Other *

Animal Renewal Notices via Email

Animal owners can receive their future renewal notices direct to their nominated email address, rather than through the post.
If you opt in to receiving eNotices, you will receive your Animal Renewal Notice(s) wherever you have internet access.
Please note that animal renewal notices that are delivered by email will NOT be sent via the postal system.
You must ensure your email address is up to date and current.
The eNotices portal allows you to self-manage all your animal renewals, pay, and view your notices at any time.
Please note you will receive your first animal renewal notice via post, you can then register for future notices through the eNotice portal, using the unique reference number which is located on the back of your notice.
If you already have an account, you can access eNotices here https://mareeba.enotices.com.au/ to add your animal details.

Declaration of Applicant

I hereby apply for amendment of the animal record described and declare that the details are correct to the best of my knowledge.

I am aware that the number of animals kept at this property is in accordance with the allowable number of dogs to be kept on a property as stated in Council's Local Law No 2 (Animal Management) 2018.
I am over the age of 18.
I have a suitable enclosure or adequate fencing to prevent my animal from escaping.

Applicant Signature

Draw signature|Type signatureClear

Animal Management (Cats and Dogs) Act 2008.

Council DOES NOT offer refunds on dogs that have left the Shire or are deceased.

Privacy Notice: Mareeba Shire Council is collecting your personal information in accordance with the Animal Management (Cats and Dogs) Act 2008, for the purpose of processing your animal’s registration. If you choose not to provide your personal information, the application may not be approved. Your personal information will only be accessed by authorised Council employees. Your personal information will not be used for any other purpose or disclosed to any other person or entity unless you have given us permission, or we are required by law. Please refer to Council’s QPP Privacy Policy for further information on access or correction of personal information held by Council.

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