Dog License Application Form

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MOYLE DISTRICT COUNCIL
SHESKBURN HOUSE
7 MARY STREET
BALLYCASTLE
BT54 6QH
TEL: (028) 207 62225 FAX: 028 207 62515
www.moyle-council.org
The Dogs (Northern Ireland) Order 1983 (as amended)
Application for Dog Licence
Details of applicant (Please use BLOCK LETTERS)
Title:
Forename/s:
Surname:
Address:
Premises at which dog
is kept (if different):
Postcode:
Postcode:
Contact Telephone Number:
Mobile Number
Email address (if available):
Date of expiry of previous licence (if any):
Description of Dog
NAME OF DOG:
SEX
STERILISED
YES / NO
AGE
KC REG NO.
BREED
DISTINGUISHING MARKS
COLOUR
MICROCHIP NO.
REGISTERED
WITH:
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Control conditions
Is a notice in force attaching control conditions under Article 30A(2) of the Dogs (NI) Order 1983 to a previous
licence held in respect of the dog above?
Yes / No
If Yes, please give:
Serial Number of Notice:
Date of Issue:
Date of Court Order:
Exemption for prohibited breed
Is the dog above subject to a contingent destruction order under Article 25C(4) or Article 33(1)(b) of the Dogs (NI)
Order 1983?
Yes / No
If Yes, please give the serial number of Exemption Certificate
Insurance Policy Provider
Insurance Policy Number
Fees and concessions (please tick one)
Tick
Fee
I am eligible for a free licence as I am over 65 and this is the first or only dog I keep.
None
I am over 65 and have already claimed a free licence for one dog.
£5.00
I am in receipt of Income Support or Housing Benefit at the time of the application for the licence.
£5.00
The dog described above is sterilised
£5.00
None of the above
£12.50
NOTE: The information given above may be subject to verification.
I declare that the information given above is correct in every aspect. I am not under 16 years of age and I have not been disqualified from keeping a
dog under Article 33A of the Dogs (Northern Ireland) Order 1985 or other animal welfare legislation.
Signed
Date:
Office use only
Date Fee Paid:
Licence Number:
Signed
Issuing Officer
Receipt No:
Amount:
MOYLE DISTRICT COUNCIL
DOG LICENCES – NOTES FOR GUIDANCE
Q1
Does everyone who keeps a dog need a Dog Licence?
Generally speaking, yes. It is an offence for anyone to own an
unlicensed dog, unless the dog falls into one of the following
categories:(a) An assistance dog (e.g. a Guide dog) used by a disabled
person;
(b) A police dog;
(c) A puppy under 6 months old and kept by the person who
was also the keeper of the bitch that gave birth to the puppy; or
(d) A dog kept, and on offer for sale, in a licensed pet shop.
Q9
Do I get anything apart from a Dog Licence?
Yes. You will get a coloured disc to be fastened to the dog’s
collar, except when it is working or being shown in
competition. The disc is not proof of licensing and an
authorised officer may ask you to produce your Dog
Licence.
Q10
Can I get a replacement dog tag?
If you lose a dog tag a replacement can be bought at
Environmental Health Dept – cost is £1.00.
Q2
When should I get a Dog Licence?
You must buy a Dog Licence before you take possession of a
dog. If you do not, both you and the supplier of the dog are
committing an offence.
Q11
Do I need any other form of ID on my dog’s collar?
Yes, you are required to fasten a disc with your name and
address to your dog’s collar. It is also advisable to put your
dog’s name and a telephone number (mobile phone number
is preferable) on the disc
Q3
How much does a Dog Licence cost?
Basic Licence
£12.50
Block Licence (see Q16)
£32.00
Concessionary Licence (see Q4)
Q12
Can a Dog Licence be transferred?
Yes. If your dog dies, and you hold a valid Dog Licence,
you can apply to Environmental Health Department with
details of the replacement dog. Control condition(s)
imposed on an individual dog will transfer to the new owner.
Q4
Who is entitled to a Concessionary Dog Licence? What is
the cost?
Over 65 and this is the first or only dog Free
Over 65 and claimed a free licence for £5.00
one dog
In receipt of an income related benefit £5.00
(i.e. Income Support, Housing Benefit)
Dog is sterilised (i.e. neutered or spayed) £5.00
Q13
Can I get a refund of a Dog Licence?
Yes, but only if within 30 days from the date of issue:(a) you do not take possession of the dog;
(b) you dispose of the dog; or
(c) the dog dies.
To apply for a refund you should fill in the relevant form and
hand it in with the coloured disc at the Environmental Health
Department.
Q5
How do I apply for a Dog Licence?
You should complete the application form overleaf and either
hand it or post it in with the appropriate Licence fee to the
Environmental Health Department, Moyle District Council,
Sheskburn House, 7 Mary Street, Ballycastle, BT54 6QH
Q14
How do I renew a Dog Licence?
When a Dog Licence is up for renewal a reminder will be
sent to you.
Q6
What information do I need to apply?
You will need a description of the dog including the breed,
colour, age, sex, name, microchip number (if available) and
owner’s contact details.
Q15
Q7
How do I pay the Dog Licence fee?
Payments can be made by Cheque/Postal Order or, if you apply
in person to the offices, in cash.
Who can get a Block Licence?
Any person who keeps on the same premises:(a) 3 or more unsterilised bitches any of which is used for
breeding;
(b) 3 or more dogs (including bitches) registered with the
Kennel Club or other approved registering organisation;
(c) if a person keeps as part of a registered guard dog
kennels 3 or more dogs which are used as guard dogs
elsewhere.
Q8
Must I be a minimum age to obtain a Dog Licence?
Yes – 16 years.
Q16
How long does a Dog Licence last?
A Licence is valid for one year from the commencement
date.
TABLE 1
Over 65s Concession
Verification of age is required for all new
licences and licence renewals after 3rd
October 2011
Any document showing a date of birth is
accepted, e.g. birth certificate, drivers,
licence, SmartPass
Neutered/Sterilised Dog Concession
Letter or invoice from a Vet or indication of
neutering on vaccination card
Income Support/Housing Benefit Concession
Proof of receipt of Income Support
Proof of receipt of Housing Benefit
If the dog was micro-chipped prior to 3rd
October 2011 and at the time of chipping it
was declared that the dog was neutered, the
certificate from the registering database will
be accepted
Any document dated within the financial year of
the licence will be accepted
As personal circumstances may change, this
verification will be required ANNUALLY
If it is obvious from a visual check that the
animal has been neutered and can be
verified by the Environmental Warden
Proof required once for each dog
NOTES:
(1)
(2)
(3)
It is an offence to apply for or obtain a Dog Licence while disqualified from keeping a dog under animal welfare
legislation.
If you keep or take possession of a dog without a Dog Licence you will be liable to a fine of £1,000.
In line with changes introduced under the Dogs (Amendment) Act 2011, from April 2012 it will be a condition of any
dog licence that the dog in respect of which it is issued has been fitted with a microchip.
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