Application for Approved Dog Owner Status

See Approved owners on our website to find out who can apply for approved ownership, and other details.

Name*

First nameLast name

Date of birth*

Street Address*

Suburb*

City*

Postcode

Preferred contact number*

Email*

example@example.com

I have been either:*

registered as a dog owner and resided within the Kapiti Coast District Council area for at least two years, ora registered dog owner in another district for at least two years and have no incidents on my dog owner record.

In the last two years I have not:*

owned a dog that has been impounded, chased or returned home by Council Animal Management staff; orbeen the subject of any substantiated complaint; orowned a dog that has been issued with an infringement notice orbeen prosecuted for any dog related offence.

My dog registration fees:*

for the past year were paid on or before 31 July.

My dog is:*

micro-chipped (where required by the Dog Control Act 1996)

My property is:*

securely fenced to ensure my dog(s) are fully contained and there is unhindered access to one of my doors. Please note, the full property does not have to be fenced, but the dogs must be securely contained. This application is subject to a property inspection by an Animal Management Officer. The Council may also carry out random inspections to ensure continuing compliance.

All dog(s) owned or kept by me:*

will be controlled in accordance with the Dog Control Act 1996 and the Kapiti Coast District Council's current Dog Control Bylaws (copy available on request or from Council's website www.kapiticoast.govt.nz)

I will notify:*

Kapiti Coast District Council in writing within 14 days of any information regarding the purchase of, death, sale or transfer of dogs to and from my property, including movement of any pups born on the premises.

I will notify:*

Kapiti Coast District Council in writing within 14 days of any change of residential address. I understand that Approved Owner Status is applicable only for the address on this application and if move, the new property will be subject to a property inspection & a fee will be payable for this.

I understand that:*

any breach of the above conditions will lead to the immediate cancellation of my privileges under this policy.

Declaration*

I declare that I meet all the conditions and requirements to qualify for approved owner status as listed

Application for Approved Dog Owner Status

Conditions and requirements