Animal Registration

Type of Detail Change*

Advice of deceased animal (separate form for each animal required)

Advice of desexed/sterilised dog (separate form for each dog required)

Apply for concession/pension – list all relevant animals

Left District – list all relevant animals

No longer have animal – list all relevant animals

Reason you no longer have animal(s)*

Animal Lost

New Owner

Other

Do you have new Owner details?*

Yes

Current Registered Owner Details

Address where animal(s) are/were ordinarily kept*

Registered Owner Name*

Title First Surname

Email*

Is your correspondence address the same as where the animal(s) is/was kept?*

Yes

Correspondence Address*

Address Line 1 Address Line 2 Suburb State Post Code

Pensioner Concession Proof*

Pensioner concessions can only be applied on the production of a current Pensioner Concession Card (issued by Centrelink or Department of Veteran Affairs), State Concession Card, or a Senior’s Card together with a Commonwealth Senior’s Health Card.
You can attach a picture of the card(s) taken from your phone or camera.
IMPORTANT: Please ensure the image(s) are large enough and legible. If an image is not suitable, we will need to request additional images.

Accepted file types: jpg, jpeg, png, gif, pdf, Max. file size: 10 MB.

Animal Details

Animal Details*
Click the + button for when you own more than one cat/dog
Cat(C) or Dog(D)
Tag No.
Animal Name
Microchip No

Desexed Dog Details*
Tag No. e.g. 120045
Animal Name

Animal Details*
Cat(C) or Dog(D)
Tag No. e.g. 120045
Animal Name

Microchip Number*

Enter Deceased Date of Animal*
DD slash MM slash YYYY

Sterilisation Certificate OR Statutory Declaration*
You can also attach a picture of the document taken from your phone or camera.
IMPORTANT: Please ensure the image is large enough and legible. If an image is not suitable, we will need to request additional images.
Accepted file types: jpg, jpeg, png, gif, pdf, Max. file size: 10 MB.

Photo of your pet
To assist in identifying your pet should it be lost or stolen, please attach a clear and up to date photo of your pet.
IMPORTANT: Please ensure the image is large enough. If an image is not suitable, we will need to request additional images.
Accepted file types: jpg, jpeg, png, gif, pdf, Max. file size: 10 MB.

New Owner Details

New owner name
First Surname

New owner address*

New owner phone

New owner mobile

Registered Council, if not City of Joondalup)

Comments
This field is for validation purposes and should be left unchanged.