Online Form - Cat Registration Application

Navigation

Introduction
Owner Details
Cat Details
Registration Fees and Charges
Application for Approved Breeder
Previous Convictions
Declaration
Submit Response

Introduction

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You have the ability to save this form and complete it at a later date. An email will be generated and sent to the specified address.

Email Address:

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There is no way to resend or recover your password, please write it down.

Note: Incomplete forms are kept for a period of 7 day(s), after this time the system will automatically delete your response.

Owner Details

Title*

First Name(s)*

Last Name*

D.O.B (dd/mm/yy) **owner must be 18 years or older***

Address (residential)*

Postal Address (if different from residential)

Email Address*

Can this email address be used to issue renewal notices and other relevant information?*

YesNo

Contact Phone Number*

Emergency Contact Name

Emergency Contact Phone Number*

Address where cat is normally kept, if different from address above?

What is the number of cats located at this premises?*

Cat Details

Cat's Name:*

Age: (Years & Months)*

Breed: (if known)

Colour:*

Does the cat have any distinguishing features or marks?

Gender:*

MaleFemale

Microchip number:*

Is the cat sterilised?*

YesNo

Is the owner a member of a prescribed exempt organisation?*

YesNo

Are you an approved breeder, please submit evidence?

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Registration Fees and Charges

Registration Fees	Standard Fees			Pensioner Fees (50% of Standard Fee)
	1 Year	3 Years	Lifetime	1 Year	3 Years	Lifetime
Sterilised Cat	$20.00	$42.50	$100.00	$10.00	$21.25	$50.00

Breeding Cat Approval Fees	Standard Fees			Pensioner Fees (50% of Standard Fee)
Application	$100.00			$50.00
Renewal	$100.00			$50.00

Please select the relevant registration period for your animal*

1 Year3 YearsLifetime

Are you eligible for a pensioner concession?*

YesNo

Are you applying for an approval (or renewal) to breed cats?*

YesNo

Please select your preferred payment method*

Submit a copy of your Sterilisation Certificate

Max File Size: 10.00 MB
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CONCESSION HOLDERS

The above concession can only be obtained upon production of a current eligible Pensioner Concession card (as defined in the Rates and Charges (Rebate and Deferments) Act 1992) in the name of the owner of the animal to be registered.

METHOD OF PAYMENT

In-Person: By appointment only 953 South Coast Highway Denmark

Mail: Shire of Denmark, PO Box 82, Denmark WA 6333

Credit Card Payment: Only Mastercard or Visa will be accepted

BPAY: An invoice will be issued with Biller Code 134460 and a reference number, you can then pay by bank transfer or online.

Phone: (08) 9848 0300 for any enquiries

If paying by BPAY, post or over the phone your receipt and registration tag will be forwarded to you via mail.

STATUTORY DECLARATION: ANIMAL STERILISATION

If your animal has been sterilised (meaning made permanently infertile by a surgical procedure) and you DO NOT have a certificate from your veterinarian, and your animal does not have a sterilisation tattoo on it's ear, then a
Statutory Declaration can be completed and must be signed by the animal owner.

Application for Approved Breeder

Are you applying to be an approved breeder?

YesNo

What breed of cats are to be bred?

Number of breeding cats to be kept at the property?

Description of facilities:

Membership details of prescribed organisation:

Previous Convictions

Do you have any convictions for offences against this Act, Dog Act 1976 or Animal Welfare Act 2002 in past 3 years?*

YesNo

Declaration

Important

The local government may refuse an application if any or all of the required information is not provided within the time period specified in the legislation.

It is the dog/cat owner or agent’s responsibility to advise of any change in particulars contained in this application, including sale or death of dog/cat, to the registered Council immediately.
Any change in particulars contained in this application including sale or death of dog/cat must be notified to Council immediately.
Dogs three months and older must be registered.
Cats six months and older must be registered.
All dogs/cats must be microchipped before they can be registered.
Dog/cat registration period: 1 November - 31 October (as from 1 June each year, half the normal fee will be applicable to FIRST annual registrations only)

I, (enter your name)*

of (enter address)*

declare that the information I have provided is true and correct. I am aware that it is an offence to provide false and misleading information.*

AgreeDo Not Agree

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