Online Form - Dog Registration Application

Introduction

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Save Your Progress

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.

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

Owner Details

Can this email address be used to issue renewal notices and other relevant information? *
Will the dog(s) be effectively confined in or at the premises identified above? *
Has your dog relocated from a different Local Government Area? If yes, please provide the name of the shire/council.

Dog Details

Gender? *
Is the dog sterilised *
Does your dog have any distinguishing features or marks?
Is the dog kept, or to be kept, as a commercial security dog? *
Is the dog kept for the purposes of the Crown? (example a police dog working with a police officer, in the name of the Crown)
Is the dog a working dog for droving or tending stock
Has the dog been declared a dangerous dog? *
Is the dog a pit bull terrier, an American pit bull terrier or a mix of one or both of those breeds? *

Registration Fees and Charges

Registration Fees Standard Fees


 Pensioner Fees
(50% of Standard Fee)
1 Year 3 Years Lifetime 1 Year 3 Years Lifetime
Unsterilised dogs $50.00 $120.00 $250.00 $25.00 $60.00 $125.00
Sterilised Dog $20.00 $42.50 $100.00 $10.00 $21.25 $50.00
Dangerous Dog $50.00 n/a n/a n/a n/a n/a
Application to keep more than 2 dogs $250            
Registration Fees Sterilised

 Unsterilised
1 Year 3 Years Lifetime 1 Year 3 Years Lifetime
Working Dog $5.00 $10.60 $25.00 $12.50 $30.00 $62.50
Assistance Dog n/a n/a n/a n/a n/a n/a
Please select the relevant registration period for your animal *
Are you eligible for a pensioner concession? *
Are you registering a dangerous dog?
Are you registering your dog as a working dog for droving or tending stock?
Is your dog an official assistance dog? *
Maximum size of ALL attachments is 976.56 MB

CONCESSION HOLDERS

The above concession for a sterilised animal can only be obtained upon production of a registered Veterinary Surgeon's Sterilisation Certificate or Statutory Declaration signed by the animal owner. A partial refund is obtainable when you sterilise an animal currently registered as unsterilised. 

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.

Convictions, Relevant Orders

Do you have any convictions for offences against the Dog Act 1976, Cat Act 2011 or Animal Welfare Act 2002 in past 3 years? *
Are you currently banned, or have you ever been banned, from owning or keeping a dog under an order under the Dog Act 1976 section 46A(2) either permanently or for a period specified in the order? *

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)
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. *

Validate and Submit Form