Dog Registration

Dog Registration

Application for Certificate of Registration WA Dog Act 1976
Use this form for new dog registrations, renewals, transfer of ownership including how to notify the Shire of a change of details to your dog registration details.
I want to*
Transfer*

Transfer of ownershipTransferred out of area
Is the dog being transferred from another local govenement?*

YesNo
Previous Local Government where dog was registered*
Date dog transferred out of area*

MonthDayYear
Date
Date dog deceased*

MonthDayYear
Date
Details being updated*

Change of residental addressChange of postal addressChange of phone numberChange of emailChange of emergency contact
* Dog registration expiry dates are fixed and always end on 31 October — not from the date of payment. Half-price fees only apply to 1-year registrations after 31 May. This discount does not apply to 3-year or lifetime registrations.
The following dog breeds are restricted. This includes any mix of these breeds: American Pit Bull Terrier, Pit Bull Terrier, Fila Brasileiro, Japanese Tosa Dogo and Argentino Presa Canario.
Owner Details
Owner Name*

First NameLast Name
Owner Date of Birth *

MonthDayYear
Date
Owner Email*
example@example.com
Owner Phone Number*
Please enter a valid phone number.
Owner Residential Address*

Street Address

Street Address Line 2

SuburbState

Post Code
Owner Postal Address (if different to residential address)

Street Address

Street Address Line 2

SuburbState

Post Code
Alternative/Emergency Contact Details
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.
Dog Details
Name of dog*
Breed of dog *
Colour of dog *
Age of Dog (years and months)*
Sex of dog*

MaleFemale
Is the dog sterilised (proof must be provided)*

YesNo
Microchip Number *
Is the dog (select any that apply)
Is the dog a restricted breed?*

YesNo
Residential address where dog will be kept *

Street Address

Street Address Line 2

SuburbState

Post Code
Do you have a consession card (proof must be provided)*

YesNo
Registration Concession Fees*

Sterilised 1 Year - $10.00Sterilised 3 Year - $21.25Sterilised Lifetime - $50.00Unsterilised 1 Year -$25.00Unsterilised 3 Year -$60.00Unsterilised Lifetime -$125.00
Registration Fees*

Sterilised 1 Year - $20.00Sterilised 3 Year - $42.50Sterilised Lifetime - $100.00Unsterilised 1 Year -$50.00Unsterilised 3 Year -$120.00Unsterilised Lifetime -$250.00
File/Photo Upload

Attach an image to help us with your request
Cancelof
Owner Declaration - I declare that
- I am (or the owner is) over the age of 18 years;
- The information provided is true and correct to the best of my knowledge;
- There are means for effectively confining the dog to the premises where the dog will ordinarily be kept;
- I have not been convicted of an offence under the Dog Act 1976, Cat Act 2011 or Animal Welfare Act 2002 within the past 3 years;
- I understand that all provisions of the Dog Act 1976 and Shire of Augusta Margaret River Local Laws apply to this application.
- I understand that dog registration expiry dates are fixed and always end on 31 October — not from the date of payment. Half-price fees only apply to 1-year registrations after 31 May. This discount does not apply to 3-year or lifetime registrations.
As the owner I declare that above to be true and correct*

Clear
Should be Empty:

Dog Registration

Owner Details

Alternative/Emergency Contact Details

Dog Details

Owner Declaration - I declare that