Animal owner information

If you are 17 years old or under

Specify joint owner details. This person must be at least 18 years old and live at the same address.

Do you authorise City of Palmerston to disclose your contact information to third parties for animal management and relocation purposes, to assist in the prompt return of your animal?
Do you provide permission to be contacted via email or phone in matters relating to your animal/s or registrations?
One file only.
10 MB limit.
Allowed types: jpg, png, pdf, doc, docx.
Secondary Contact

This may assist in the safe return of your animal.

Your animals information
Gender
Is your animal de-sexed
If the animal is de-sexed please provide the relevant supporting documentation when submitting this form
One file only.
10 MB limit.
Allowed types: jpg, jpeg, png, doc, docx, pdf.
Please upload a copy of the registration certificate.
One file only.
10 MB limit.
Allowed types: jpg, jpeg, png, doc, docx, pdf.
At what address is the animal usually kept at?
Dog registration only - Has the dog previously been or is it currently a Declared Dangerous Dog in any other municipality?
Dog registration only - Has the dog been involved in any dog attack/menace incident?
Important Information
  • When upon a public place the animal is to be under the control of a competent person, and there is a requirement for the animal to be retained by leash, cord, chain or similar device.
  • It is requested that your animal wears its current identification tag issued by City of Palmerston to help assist in its return if your animal becomes lost.
  • If the animal owner is under the age of 17, a parent or guardian must sign this form as a joint owner.
  • A person who is registering the animal on behalf of its owner is required to show that authority in writing and attach a copy to this application.
Declaration
If the animal owner is under the age of 17, a parent or guardian must sign this form as a joint owner.
The Registrar may refuse the registration of an animal pursuant to By-Law 7 (3). Owners of an animal that the Registrar has refused registration of, will be notified in writing and their money refunded. Such an animal must be removed from the municipality.