Dingo Licence Application Form and Guide to Keeping Dingoes for Private Purposes in Victoria About this application A Dingo Licence authorises the holder to possess, keep, breed, buy, sell and dispose of dingoes for non-commercial purposes and to possess dingos at other sites for the purpose of exercising or obedience training. Applications may be subject to an on-site inspection of the premises specified in the application. If your application is successful, you will be invoiced for the licence fee. A Dingo Licence cannot be issued until payment of the correct fee has been received. This process may take up to 60 days. An incomplete application may delay issue of a licence This form is not valid after 30 June 2016. 1. Your personal details A Dingo Licence will only be issued to a natural person over 18 years of age. Mr/Mrs/Ms First name Date of birth Sex (M/F) Other name/s Surname 2. Your residential address This Licence does not authorise you to possess dingoes at any place other than as provided for in the Licence conditions. Property name (Name of house, farm or building if applicable) Flat/Unit No. House/Lot No. Street name City/Suburb/Town Postcode 3. Your postal address If your postal address is the same as the above, write ‘As above’. Property name (Name of house, farm or building if applicable) Flat/Unit No. House/Lot No. Street name or PO Box City/Suburb/Town 4. Your contact details Telephone no. Postcode Mobile no. Email 5. Prior convictions Have you been convicted of any offence in Victoria under the Wildlife Act 1975 or the Prevention of Cruelty to Animals Act 1986 during the last 10 years? If ‘yes’, provide details below: Yes / No Description of Offence Year State 6. Collection, use and disclosure of personal information Privacy and Data Protection Act 2014 The Department of Environment, Land, Water and Planning (DELWP) is committed to protecting personal information provided by you in accordance with the principles of the Victorian privacy laws. The information you provide will be used to monitor compliance with licence conditions and to provide information about any changes to legislative requirements. Your contact details may also be used by DELWP or its contracted service providers under confidentiality agreements to survey you about your experience with DELWP or to seek feedback related the keeping of wildlife. A licence may not be issued if the information required is not provided. The information you provide will also be made available to any authorised law enforcement agency. You may access the information you have provided to DELWP by contacting the Privacy Coordinator on (03) 9637 8697. Page 1 of 5 7. Declaration by applicant “I understand that there are heavy penalties for making a false declaration and that any Licence issued as a result of a false declaration will be cancelled, and may affect my eligibility to keep wildlife in the future. I hereby declare that construction of my dingo enclosure/s is complete and complies with DELWP’s minimum requirements for dingo enclosures, and that all details provided by me on this form are true and correct. I also consent to the collection, use and disclosure of my personal information for the purposes described in Part 6.” Signature of applicant Date 8. Declaration by witness “I hereby declare that all details provided by me on this form are true and correct and that the personal details shown on the ‘Evidence of Identity’ presented to me matches those provided by the applicant.” Name of witness Date Type of witness* Telephone Signature of witness Witness’s stamp (if applicable) Only the following people may witness an application: Dentists Bail Justices or Sheriffs Registered Veterinary Practitioners Medical Practitioners Judges or Magistrates Town Clerks or Shire Secretaries Postmasters Justices of the Peace Clerks of Courts or Petty Sessions Chartered Accountants Barristers or Solicitors Teachers with over 5 years’ of experience Bank Managers Members of the Police Ministers of Religion authorised to celebrate marriages Pharmacists PublicofServants with over 5 of years’ experience Municipal Councillors a Public Servant with over 5 years experience 9. Licence duration Fees in the table below are indicative only as they will be calculated on a pro-rata basis from the date which an application is approved. Do not send payment with your application; if successful, you will be invoiced for the licence fee. Please indicate your preferred Licence Term by circling the corresponding fee in the table below: 1 YEAR Dingo Licence Fees for 2015 3 YEARS Full Fee Concession Full Fee Concession $130.50 $65.20 $313.30 $156.60 Where appropriate, figures are rounded-down to the nearest 10 cents. Wildlife Licence fees are exempt from the Goods & Services Tax (GST). Completed applications should be sent to: Wildlife Licensing Department of Environment, Land, Water and Planning PO Box 500 EAST MELBOURNE VIC 8002 . Page 2 of 5 Guide to keeping dingoes for private purposes in Victoria GENERAL INFORMATION Different laws apply in each Australian State and Territory with respect to wildlife. Consequently, the wildlife laws of other States and Territories do not necessarily apply in Victoria. If in doubt, call the Department of Environment, Land, Water and Planning (DELWP) Customer Service Centre on 136 186. Dingos are protected wildlife under the Wildlife Act 1975. Dingo-dog hybrids are regulated by the Domestic Animals Act 1994 and must be registered with your local council. Dingos held under a wildlife licence are exempt from dog registration requirements but applicants are encouraged to contact their local council for any local laws that may apply. DO YOU NEED A LICENCE? A licence is required to possess, keep, breed, buy, sell and dispose of any dingo for non-commercial purposes. If you are seeking a dingo licence for commercial purposes, you will need to apply for a commercial wildlife licence. Further information can be obtained from www.delwp.vic.gov.au or by calling 136 186. COMMON EXPIRY DATE All Dingo Licences have a common expiry date of 30 June 2016 or 30 June 2018 depending on what term of licence you have requested. Your first licence will be issued on a monthly pro-rata basis to align with the common expiry date. YOUR OBLIGATIONS Record keeping If your application for a licence is successful, you will receive a Protected Wildlife Record Book. These records help guard against the illegal exploitation of wildlife. Record transactions immediately after they are completed. It is your responsibility to obtain and record all relevant information from any persons who you deal with. Ensure that the licence of anyone you trade with is valid. You must complete and maintain permanent and legible entries of all transactions in the Record Book. Keep your Record Book in a safe place. Do not remove any pages from your record book. Failure to keep accurate and up-to-date records is an offence under the Wildlife Act 1975. You must report the loss, theft or damage to your licence, record book or completed returns within two business days of becoming aware of the theft, loss or damage. A Notification of Theft, Escape or Damage Form is available for this purpose and can be obtained from www.delwp.vic.gov.au or by calling 136 186. An administrative fee may be charged for the replacement of lost or damaged Record Books. Return forms The Wildlife Regulations 2013 require licence holders to submit an annual Return Form. The information in these returns provides an overview of wildlife possession and trade which is used to help with wildlife management. You must submit a completed Return Form by no later than 14 April each year, detailing the dingos in your possession and summarising any transactions during the twelve-month period ending 31 March. Even if you do not hold any dingos, you must submit a Return Form each year for as long as you hold a licence. Remember to sign and date the Return Form. You must keep a legible copy of each Return Form. Correct details If any details on a licence are incorrect, or if they change (e.g. you move house), you must notify DELWP. A Licence Amendment Form is available for this purpose which can be obtained from www.delwp.vic.gov.au or by calling 136 186. Theft or Escape of Dingoes Licence holders are required to notify DELWP of any theft or escape of dingos within two business days of becoming aware of missing animals. Licence holders must also: Report any theft in relation to a wildlife licence to a member of the police force within two business days of becoming aware of the theft; Retain a copy of the police report; and Record the theft or escape of wildlife in your Wildlife Record Book. A Notification of Theft, Escape or Damage Form is available for this purpose and can be obtained from www.delwp.vic.gov.au or by calling 136 186. Page 3 of 5 WILDLIFE OFFICERS Protecting our wildlife resources Wildlife Officers (“Authorised officers”) may inspect wildlife held by any person. They may also inspect documentation associated with keeping and trading wildlife. Mostly, inspections are conducted by uniformed officers (but not always) and they will show you official identification. If identification is not offered, you should ask to see it. REQUIREMENTS FOR DINGO ENCLOSURES Dingo enclosures must be constructed prior to applying for a Dingo Licence and acquiring any dingoes or prior to the licence holder changing address. LICENCE CONDITIONS A licence authorises the holder to possess, keep, breed, buy, sell or dispose of any dingo for non-commercial purposes and to possess any dingo at other sites for the non-commercial purposes of exercising, obedience training, education, or display at shows conducted by a canine association. Under Regulation 57 of the Wildlife Regulations 2013: 1. It is a condition of any Dingo Licence that the licence holder must not— a) sell or dispose of any dingo from a shop or business premises; or b) sell or dispose of any dingo for commercial purposes from the premises specified on the licence; or c) buy, acquire, sell or dispose of any dingo from a person unless that person— i. is the holder of a Dingo Licence that authorises that person to buy, acquire, sell or dispose of that dingo; or ii. is the holder of a Wildlife Displayer Licence; or iii. has obtained the prior written approval of the Secretary; or d) sell, lend, trade, consign or dispose of any dingo pups less than seven weeks of age. 2. It is a condition of any Dingo Licence that the licence holder must— a) not keep dingoes at an address not specified in the licence, other than— i. for the purposes of exercising or obedience training; or ii. for educational purposes; or iii. for the purposes of displaying dingoes at a show conducted by a canine association; or iv. for any other purpose as approved by the Secretary in writing; b) only keep dingoes in permanent and fixed enclosures that are— i. child-proof; and ii. of sufficiently secure design and construction to prevent escape of dingoes and prevent unauthorised access to dingoes; c) ensure the dingo enclosures are constructed prior to application for the Dingo Licence and the acquiring of dingoes under the licence; d) if a person other than the licence holder interacts with a dingo, ensure the interaction is done in a manner which minimises the risk of injury to any person or the dingo; e) ensure that all dingoes 7 weeks of age or older are durably marked for identification purposes with a microchip or any other permanent identification device by an authorised implanter in accordance with the Domestic Animals Act 1994; f) ensure that, when outside the premises specified in the licence, any dingo must wear a collar around its neck with an identification disc attached to the collar which clearly states the name and phone number of the licence holder and the licence number; g) ensure that dingoes are effectively confined to an enclosure, or when outside an enclosure, are effectively controlled at all times by a physical means of restraint including through use of a chain, cord, leash or harness, even within a designated "off-lead" area; h) ensure that persons under 16 years of age are not allowed unsupervised access to dingoes at any time; i) in the event of the escape of any dingoes, make all reasonable efforts to recapture, humanely destroy or otherwise determine the fate of the escaped dingo. 3. If a dingo is being displayed for educational purposes or at a show conducted by a canine organisation, it is a condition of any Dingo Licence that the licence holder must— a) ensure that the licence holder, or a person permitted by the licence holder, is always in attendance to protect the dingo from abuse or harassment by any person; b) ensure that the licence holder, or a person permitted by the licence holder, has direct control of the dingo at all times; c) ensure that every precaution is taken to prevent the risk of injury to any person and to ensure the health and wellbeing of the dingo; d) ensure that only dingoes that are fully conditioned to handling are used for these purposes. Page 4 of 5 ADDITIONAL INFORMATION Choosing the Right Licence Please ensure that you have the right licence for the wildlife you wish to keep. Dead specimens of wildlife may be held under a Wildlife Specimen Licence. A Valid Licence Wildlife must not be acquired until the appropriate licence has been obtained. Even if your cheque or money order has been banked, you are not authorised to hold wildlife until you have received and signed your licence. Specified Premises Any dingo held under a wildlife licence must remain at the premises specified in the licence, unless going to or returning from a veterinarian, exercising, obedience training, education or display at show conducted by a canine association Licence Cannot be Transferred A wildlife licence held by a natural person cannot be transferred to another person. Licences are Renewable Licences are renewable on either an annual or 3-yearly basis. It is your responsibility to ensure that the licence remains current. A renewal notice will be sent to you approximately six weeks prior to the expiry date of the licence. If you do not comply with the conditions of your licence, you may be prosecuted and renewal of your licence may be refused. Going Away? If you are going away and want to transfer your dingo to another appropriately licensed person to look after your dingo, this must be recorded as a transaction in both Protected Wildlife Record Books. If a person is looking after your dingo at the premises specified on your licence, no action is required. An Import-Export Permit must be obtained before moving dingoes into or out of Victoria. Taking Wildlife from the Wild Wildlife must not be taken from the wild or released to the wild without the prior written approval of the Secretary. Trading When trading wildlife both parties must have a valid licence and both must ensure that all requirements of the Wildlife Act 1975 and the Wildlife Regulations 2013 are met. If you advertise wildlife for sale you must include your wildlife licence number, as it appears in your licence (eg. 12345678-B). CONCESSIONS Anyone holding a current Commonwealth Health Card is eligible for a concession on the cost of a Dingo Licence. Further information on concessions is available from www.dhs.vic.gov.au/concessions. You must pay the Concession fee and provide a photocopy of your current card when you first apply for a licence and any subsequent licence renewals. You must prove your eligibility each and every time you wish to claim a concession, regardless of your previous eligibility. If you don’t provide a photocopy of your current Concession Card, your application will not be processed. Student concession cards do not meet eligibility requirements for a concession licence. ‘Guide to keeping dingos for private purposes in Victoria (Version 15.1) First Printed June 2015 Authorised and published by the Victorian Government, Department of Environment, Land Water and Planning, 8 Nicholson Street, East Melbourne, July 2015 © The State of Victoria Department of Environment, Land, Water and Planning 2015. This publication is copyright. No part may be reproduced by any process except in accordance with the provisions of the Copyright Act 1968. ISBN 978-1-74146-557-0 (pdf) Accessibility To receive this publication in an alternative format, please contact DELWP on 136 186 or email customer.service@delwp.vic.gov.au. You can also contact DELWP via the National Relay Service on 133 677 or www.relayservice.com.au. This publication may be of assistance to you but the State of Victoria and its employees do not guarantee that the publication is without flaw of any kind or is wholly appropriate for your particular purposes and therefore disclaims all liability for any error, loss or other consequence which may arise from you relying on any information in this publication. Privacy and Data Protection Act 2014 The Department of Environment, Land, Water and Planning (DELWP) is committed to protecting personal information provided by you in accordance with the principles of the Victorian privacy laws. The information you provide will be used to monitor compliance with licence conditions and to provide information about any changes to legislative requirements. Your contact details may also be used by DELWP or its contracted service providers under confidentiality agreements to survey you about your experience with DELWP or to seek feedback related the keeping of wildlife. A licence may not be issued if the information required is not provided. The information you provide will also be made available to any authorised law enforcement agency. You may access the information you have provided to DELWP by contacting the Privacy Coordinator on (03) 9637 8697. Page 5 of 5