Civic Centre, 15 Channel Highway, Kingston 7050, Tel: 6211 8200

Service Centre Alonnah, Bruny Island, Tel: 6293 1139

DOG CONTROL ACT 2000

APPLICATION FOR DOG REGISTRATION

OWNERS DETAILS

Salutation (eg, Mr, Mrs, Dr etc): Given names:

Surname:

Date of birth: _____ / _____ / _____ Email address:

Postal address:

Contact numbers: (H) _______________________ (B) _______________________ (M) ______________________

Address where dog(s) will be kept:

(if different to above address)
Please note: For any person under the age of 18, the dog registration must be in the name of a parent or guardian
DOG DETAILS
DOG 1 DOG 2
Has your dog previously been
registered in Kingborough?
⬜ Yes ⬜ No ⬜ Yes ⬜ No
Name of dog
Breed
Colour
Gender ⬜ Male ⬜ Female ⬜ Male ⬜ Female
Has your dog been sterilised? ⬜ Yes ⬜ No ⬜ Yes ⬜ No
Age
Microchip No.
DOG HISTORY
TO BE COMPLETED IF THE ANIMAL HAS PREVIOUSLY BEEN REGISTERED IN ANOTHER MUNICIPALITY WITHIN AUSTRALIA
DOG 1 DOG 2
Has the dog ever been subject to a prior complaint, infringement, direction or
notice by any other local government organisation or other government ⬜ Yes ⬜ No ⬜ Yes ⬜ No
authority?
If yes to the above, please provide details of the council or government Please attach details to this
authority and the full particulars including the date of the complaint,
Application for Dog Registration form
infringement, direction or notice.

DECLARATION
I declare the above information to be true in every aspect to the best of my knowledge and belief in accordance with Section 78
of the Dog Control Act 2000

Signature: Date: _____ / _____ / _____

OFFICE USE ONLY

Fee payable
ARN
TAG No.
Receipt No. Pension Card No. PID
Privacy Statement
The information that the Council is collecting from you is personal information required under the Personal Information Act 2004. The intended recipients of the
information are officers of the Kingborough Council in order to carry out Council business. Personal information will be used only for the purposes described in
the Act, or may be disclosed if authorised by law. The supply of the information by you is not voluntary, if you cannot provide the information sought,
Kingborough Council will not be able to process your application. You may make an application to access or amend the information held by the Council by
contacting the relevant Council Officer on 03 6211 8200.
 RESPONSIBLE PET OWNERSHIP
Confining your dog Dog Training
Just ensuring our dogs are confined to the property can easily reduce a Many problems with dogs can be overcome with the correct training
large proportion of dog management problems. The majority of dog and advice. Puppy preschool is a great way to introduce your puppy
attacks are the result of inadequate confinement, and occur within to the world. It reduces some forms of aggression in dogs and
close proximity to the dog’s home. Many people are unaware of their encourages acceptance of adults, children and other dogs.
responsibilities where dogs are concerned. If you agree to look after a Environmental enrichment for your pets in the form of chew toys or
dog for someone the law defines you as the owner whilst it is in your scratching objects may stimulate your pet's mind and help minimise
care. If the dog escapes from your yard and attacks another dog or a boredom. Owners experiencing behavioural problems with their dogs
person, you would be deemed to be the owner and may be prosecuted should contact a trainer for advice, whether it is barking, digging or a
for the dog’s actions. If you live on acreage and cannot afford to fence bit too boisterous. Different forms of training available locally are in
the whole property, fence off a section or build a kennel and run. the form of group training in a park or one-on-one training at home.

REGISTRATION FEES
Any Dog (Not Sterilised) $99
Any Dog (Sterilised)
Owners wishing to claim initial reduced fees for sterilized dogs must provide a Veterinarian Certificate or sign the below statutory declaration.
$32

1st Dog (Not Sterilised) owned by pensioner or health care card holder $37
st
1 Dog (Sterilised) owned by pensioner or health care card holder
The concessional fee for pensioner is for the first dog only and subject to production of a current Pension Card or Health Care Card. Any $23
additional dog kept by the pensioner shall be registered at the full applicable rate.

Obedience Trained Dog (Not Sterilised) $37

Obedience Trained Dog (Sterilised)
Owners wishing to claim reduced fees for a trained dog must provide certification of training from a recognised Canine Club to the level of $23
Community Companion Dog or equivalent as recognised by the Australian National Kennel Council and approved by the General Manager.
Working Dog
$32
Owners wishing to claim reduced fees for farm stock style Working Dogs will be required to provide sufficient evidence.
TCA Registered Breeding Dog
$32
Owners wishing to claim reduced fees for Breeding Dogs registered with the TCA must produce the relevant identification cards.
Greyhounds Registered with TGRB
$32
Owners wishing to claim reduced fees for Greyhounds registered with the TGRB must produce the relevant identification cards.
Guide Dogs, Assistance and Therapy Dogs
Nil
Evidence will be required that Guide, Assistance or Therapy Dogs, has or is being trained by an approved institution.
Restricted Breeds, Declared Dangerous Dogs and Guard Dogs POA

METHODS OF PAYMENT

PAYMENT BY MAIL PAYMENT IN PERSON

 Cheque or money orders to be made payable to  Present Registration Notice together with your payment at
KINGBOROUGH COUNCIL the Council Offices.
(postdated cheques will not be accepted)  Hours of operation are 8.45am – 5.00pm Monday to
 Mail payment, together with Registration Notice to: Friday.
Kingborough Council Civic Centre
15 Channel Highway – Locked Bag 1
Kingston TAS 7050

HONORARY DECLARATION - STERILISATION

TO BE COMPLETED IF THE ANIMAL IS STERILISED AND PROOF HAS NOT BEEN SUPPLIED
This declaration must be signed and witnessed below

I, of
In the State of Tasmania do solemnly and sincerely declare that the following information listed relates to a sterilised dog owned
by me, for which I understand that a person supplying false information is liable to prosecution under the Dog Control Act 2000.

Sex Age Breed Colour Place & date of sterilisation

Signature of applicant: Witness:

Date: _____ / _____ / _____