Particulars of owner
Your date of birth is required to enable you to be distinguished from other persons with the same name. Certainty of identification is required in the enforcement of the provisions of the Dog Control Act 1996.
Telephone numbers (business/residential):
Address at which dog is ordinarily kept: [If there is more than 1 owner, give these particulars in respect of each of the owners.]
*For the purposes of the Dog Control Act 1996, you are the owner of a dog if—
you have the dog in your possession (otherwise than for a period not exceeding 72 hours for the purpose of preventing the dog causing injury, or damage, or distress, or for the sole purpose of restoring a lost dog to its owner); or
you are the parent or guardian of a person under 16 who is the owner of the dog and who is a member of your household living with and dependent on you.
The above information will be kept by the [territorial authority] but may be used only for lawful official purposes and will not be generally available to the public. However, section 35 of the Dog Control Act 1996 allows the name and address of the owner of any specified dog to be made available to any person who has made a written application for that information. Before supplying the information, the [territorial authority] must be satisfied of the identity of the applicant and that the information is required for one of a limited number of specified purposes, such as returning a lost dog to its owner or seeking compensation for damage.
Particulars of dog
Whether working dog: yes/no
Description of any tattoo or the unique identifier of any microchip transponder:
Is the dog classified as a dangerous dog under section 31 of the Dog Control Act 1996: yes/no
Particulars of last registration
Details of the last registration of the dog (if any)—
Registration number of collar, label, or disc:
Fees submitted with this application:
If a lower fee is claimed for a working dog, state the specified class of working dog:
Failure to supply any of the information requested in this form that is relevant to your application may prevent the registration of your dog. You are encouraged to request the [territorial authority] to correct or amend any of these details if you discover a mistake or if the relevant circumstances change. You are required to notify the [territorial authority] of any change of address or change in the ownership of the dog.
For use by territorial authority
Registration number of collar, label, or disc:
Notes on registration
All dog owners with dogs ordinarily kept in the [territorial authority] district must register their dogs with the [territorial authority].
All dogs over the age of 3 months must be registered.
It is an offence to keep a dog older than 3 months which is unregistered. On conviction, a court may impose a fine of up to $3,000.
On completing the form properly, a dog owner may post the form, together with the appropriate fees payable, to the Dog Registrar at [address] or deliver these items to the office of the [territorial authority].
It is an offence, when applying for the registration of a dog, to make any written statement knowing that statement to be false. On conviction, a court may impose a fine of up to $3,000.
Replacement discs and collars may be obtained from the [territorial authority] if the current disc or collar has been lost or stolen.
Any dog not wearing a collar having a current registration label or disc attached will, until the contrary is proved, be treated as unregistered.
On change of ownership of any registered dog, both the previous owner and the new owner must, within 14 days, give written notice to the [territorial authority or authorities], of the change of ownership and the residential address of the new owner and the address at which the dog will be kept. It is an offence not to comply with this requirement. On conviction, a court may impose a fine of up to $500.
If the owner’s address is changed within the district, the owner must, within 14 days, give written notice of the change to the [territorial authority].
If any dog is transferred to and kept in the district of another territorial authority, other than the one in which it has been kept, for 1 month or more, the owner must, within 6 weeks of the transfer, give written notice of the transfer to both territorial authorities, setting out the address at which the dog will be kept. It is an offence not to comply with this requirement. On conviction, a court may impose a fine of up to $500.
If the fee for the registration of a dog is paid and that dog dies, a refund will be made on request as follows:
where a dog dies before the commencement of the year, the full fee will be refunded:
where the dog dies during the year, 1/12th of the annual fee for each complete month remaining in the registration year after the date of application for a refund will be refunded.
If any dog is first required to be registered after 1 August in any registration year, the fee shall be 1/12th of the annual fee for each complete month remaining in the registration year after the date of such registration.
The registration fees include goods and services tax.
Owners wishing to claim a reduced fee for neutered dogs must produce a certificate from a veterinarian certifying that the dog has been neutered.
If any dog over the age of 3 months is found not wearing a collar with a current registration label or disc attached, on land or premises other than its owner’s land or premises, or in any public place, the dog may be seized and impounded.
Control of dogs
The owner of a dog must keep the dog under control at all times and, when in a public place with the dog, must use or carry a leash at all times.
A dog will be treated as not being under control—
if it is found at large on any land or premises other than a public place or a private way without the consent (express or implied) of the occupier or person in charge of the land or the premises; or
if it is found at large in any public place or in any private way in contravention of any regulations or bylaw.
You will commit an offence and be liable on conviction to a fine not exceeding $3,000 if you fail to comply with this provision.
Obligations of dog owner generally
The owner of a dog must—
ensure that the dog receives proper care and attention and is supplied with proper and sufficient food, water, and shelter; and
ensure that the dog receives adequate exercise.
You will commit an offence and be liable on conviction to imprisonment for up to 3 months or to a fine not exceeding $5,000 if you fail to comply with this provision.
Obligations of dog owner on owner’s property
The owner of a dog must ensure, when the dog is on land or premises occupied by the owner,—
that the dog is under the direct control of a person; or
that the dog is confined within the land or premises in such a way that it cannot freely leave the land or premises.
You will commit an offence and be liable on conviction to a fine of $3,000 if you fail to comply with this provision. In addition, a dog control officer or dog ranger may seize and impound the dog.
Schedule form 6: substituted, on 1 November 2004, by regulation 3 of the Dog Control (Prescribed Forms) Amendment Regulations 2004 (SR 2004/354).
Schedule form 6: amended, on 22 December 2005, pursuant to section 95 of the Veterinarians Act 2005 (2005 No 126).