Cat Nuisance – Data Collection Form

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Cat Nuisance – Data Collection Form
Have you recieved the Nuisance Cat Fact Sheet and followed the suggestions? If you continue to have problems with
nuisance cats please complete this questionnaire and return it to the City of Joondalup:
Email: Mail:
info@joondalup.wa.gov.au
City of Joondalup, PO Box 21, Joondalup WA 6919
Complaint Details
Name:
Address:
Email:
Telephone:
Description of cat (colour, size):
Sex:
☐ Male
☐ Female
Does the cat appear to be in good health?
☐ No
☐ Yes
Does the cat have any visible injuries?
☐ No
☐ Yes – please describe:
How old do you think the cat may be?
☐ Unknown
year/s
Do you know where the cat lives?
☐ No
☐ Yes – please provide address:
Is the cat wearing a collar/i.d.tag?
☐ No
☐ Yes – collar
☐ Yes – i.d.tag
Collar colour:
Tag number:
How long has the cat been visiting your property?
days /
months
Why is the cat a nuisance to you?
Have you been feeding the cat?
☐ No
☐ Yes
Can you approach/handle the cat?
☐ No
☐ Yes
Where on your property does the cat frequent?
How often?
☐ hourly ☐ daily ☐ weekly ☐ monthly
As the owner/occupier of the above mentioned property, I hereby provide my full permission for the City of Joondalup
Ranger Services (the City) to set and monitor a cat trap within my property if deemed necessary.
I agree to pay the City any costs and/or damages as a result of the trap being set, this includes damages to the trap or a
trap becoming lost.
Signature of Applicant: _____________________________________________ Date: __________________
City of Joondalup | Boas Avenue Joondalup WA 6027 | PO Box 21 Joondalup WA 6919 | T: 9400 4000 F: 9300 1383 | joondalup.wa.gov.au
FORM 44 – LAST UPDATED AUGUST 2015
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