Dogs
and cats
ABN 42 686 389 537 – PO BOX 151, KYNETON VIC 3444
T 03 5422 0333 – F 03 5422 3623 – mrsc@mrsc.vic.gov.au – www.mrsc.vic.gov.au
Animal Registration Form (10 April 2016–10 April 2017)
Surname:
First name:
Residential address:
Postal address:
Phone (h):
Phone (w):
Mobile:
Animal/s
Animal #1
Type:
Animal #2
Animal #3
Dog
Cat
Dog
Cat
Dog
Cat
Restricted breed:
Yes
No
Yes
No
Yes
No
Sex:
Female
Pet’s name:
Colour:
Breed:
Male
Female
Male
Female
Male
Age:
Desexed*:
Yes
No
Yes
No
Yes
No
Dogs Vic/ FCC member*:
Yes
No
Yes
No
Yes
No
Microchip number*:
Fee/s:
Concession no.
$
$
$
Expiry:
*Proof must be provided.
I, the undersigned hereby apply to Council for the registration of the animal/s described, knowing that a person
making an application under the Domestic Animal Act must not give false information in the application.
Signature:
Office Use Only
Date:
Animal #1
Animal #2
Animal #3
Proof of sterilisation (witnessed)
Tag number
Pet Reference number
Proof of microchip (witnessed)
Fee code
Receipt number
Payment options
In person: present this form and payment (cash, cheque/money order, eftpos or credit card) at one of our offices.
By Mail: cheque or money order – payable to Macedon Ranges Shire Council, or complete Credit Card payment
authorisation below. Mail this form and payment to PO BOX 151 KYNETON VIC 3444.
Credit card payment authorisation
Mastercard
Visa
I authorise you to charge the following amount to my credit card: $
Name on card:
Credit card number:
Expiry date (xx/xx):
Signature:
Fees
Dogs
Desexed Dog
Obedience Trained Dog*
Dog Over 10 (proof required)
Registered animal business
Member Assoc*
Regular $42 / Pensioner $21
Working Dog (proof required)
Regular $42 / Pensioner $21
Entire Dog
Regular $126 / Pensioner $63
Dangerous Dog
Restricted Breed
Menacing Dog
Regular $500 / No pensioner discount
Guard Dog
Regular $126 / No pensioner discount
Guide Dog—No charge
Adopted from registered animal shelter
Initial registration fee $10
Important information
Emergency after hours service
Call Council on 5422 0333 after hours in an
emergency, such as a lost or found animal. The
service will prioritise calls and any outstanding matters
will be dealt with on the next working day.
Pensioners
Holders of eligible pension cards are entitled to a
reduction as listed to the left. Please present your
card in person at the time of registration. Health care
card holders are not entitled to the discount.
Certificate of Registration
Once your registration fee is paid, your receipt will be
deemed your certificate of registration. Your current
yellow animal registration tag is not valid until
payment is made.
Privacy
The personal information collected on this form is in
accordance with the Domestic Animals Act 1994. The
information will only be disclosed as permitted by law.
To view Council’s privacy policy, visit our website at
www.mrsc.vic.gov.au. In the course of rescuing pets,
we may need to pass phone numbers onto vets,
animal aid shelters or other councils. If you have any
concerns about this, contact Council’s Local Laws
team. Our aim is to return your pet/s home quickly and
safely.
Are your details correct?
You must let us know in writing if there is any change
in ownership of the animals listed on this renewal.
Cats
Desexed Cat
Cat Over 10
Cat Breeder
Registered animal business
Member Assoc*
Regular $34 • Pensioner $17
Entire Cat
Regular $102 • Pensioner $51
Adopted from registered animal shelter
Initial registration fee $10
*Applicable organisations
Note: In accordance with the Domestic Animals
Act 1994, all cats and dogs over the age of 3
months must be registered and microchipped.
Replacement registration animal tags
Replacement animal ID markers (tags) can be
obtained from any Customer Service Centre at a cost
of $6.50 per tag. Registration tags must be worn on
animals when outside their owner’s premises,
pursuant to the Domestic Animals Act 1994.
Documents
To be entitled to a reduced registration fee you must
provide proof of sterilisation, microchip implant,
membership of approved association, obedience
papers, breeding licence, statutory declaration or tax
return for proof of working dog status.
Excess animal permits
Permits must be obtained to keep more than two dogs
and / or two cats per residential household on land up
to 4000 square metres and more than four dogs / four
cats on land greater than 4000 square metres.
State Government Levy
Registration fees include the State Government Levy
of $3.50 per dog and $2 per cat, which is used
primarily to fund responsible pet ownership education
programs.
Penalties
Owners of unregistered animals may receive on-thespot infringements for each animal. Random spot
checks will occur after 10 April.
Use of unregistered tags
It is an offence under the Domestic Animals Act
1994 for an owner of an unregistered animal to
wear a Council identification tag— infringements
can apply.