Declaration to link Microchip to Tattoo number

GSDFSA Declaration: Microchip Number of a dog

Use this form to link a microchip number to a dog already registered with the German Shepherd dog Federation, where the dog only has a tattoo on file and not a microchip.
Notes and Procedures

1. This form may only be completed by a registered veterinarian, a GSDFSA Breed Judge, or a GSDFSA Recognised Tattooist. If completed by anyone else, this form will be disregarded.

2. The form cannot be completed by any person who is registered as the owner or co-owner of the dog mentioned.

3. A singular form must be completed for each dog. More than one dog cannot be added to the same form.

4. Use this form to declare the microchip number of a specific dog, where the Federation only has a Tattoo Number on record. This form can be used for dogs being microchipped to be radiographed for HD/ED, or for dogs that have previously been microchipped, but where the microchip is not on record with the Federation.

5. Puppies that have been registered with the microchip number and not a tattoo number, or where the microchip number was provided to the GSDF offices upon registration of the litter, and checked by the tattooist, do not need to have this form completed.

6. Completing this form does NOT substitute registering the microchip on a public database, and we still recommend registering your microchip on the provider's website/database.

7. We urge vets or any party that microchips a GSDF-registered dog to complete this form immediately upon microchipping a dog, to keep the GSDF records up to date.

8. Only 15-digit Microchips may be used.
Dog & Owner Details
Registered Name*
Tattoo Number*
SA Registration Number*
Microchip Number*
Date of Implant*

DayMonthYear
Date
Current Owner*
Owner GSDFSA Membership No*
Owner Email Address*
A copy of this form will be sent to this email address
Declaration by the party implanting the microchip, or verifying the details.

I, the undersigned, hereby declare that I have personally checked the Tattoo Number and the Microchip of the dog as mentioned herein, and that the Microchip Number provided herein is accurate and correct. I understand that the microchip number provided herein will be linked to the registered details and tattoo number of the dog, and that I may be held accountable if I purposely provide false information. I have checked/confirmed the details mentioned herein on the date indicated below. I hereby declare that I am authorized to complete this form, in my capacity as indicated below, and that I do not own and/or co-own the dog mentioned herein.
Full Names*
Email Address of person completing the form*
A copy of this form will be sent to this email address
VeterinarianTattooistBreed JudgeOther (Pre-Authorized by GSDF Offices)
Capacity Auto Field*
Authorized Signature*

Clear
Date*

DayMonthYear
Date
By submitting the form, a copy will be sent to the GSDF offices, the owner (email address as provided herein) and the person completing the form (email address as provided herein).

Please ensure that all details are correct PRIOR to submitting.
Should be Empty:

GSDFSA Declaration: Microchip Number of a dog

Dog & Owner Details

Declaration by the party implanting the microchip, or verifying the details.