NSW Companion Animals Register

Lifetime Registration R2

Please use this form to apply for lifetime registration of a cat or dog Note
under the Companion Animals Act 1998. Make sure you attach ,I\RXDUHFODLPLQJDUHGXFHGUHJLVWUDWLRQIHH\RXPXVWSURYLGH
DFRS\RID&HUWL¿FDWHRI,GHQWL¿FDWLRQRUDFRPSOHWHGFRS\RID the following proof:
3HUPDQHQW,GHQWL¿FDWLRQIRUP3OHDVHQRWHWKDWLI\RXJLYHIDOVH
RUPLVOHDGLQJLQIRUPDWLRQ\RXPD\EH¿QHG z DesexedDOHWWHUFHUWL¿FDWHRUFOHDUUHFHLSWIURPDYHWRUD
statutory declaration from the owner.
z Recognised breeder - proof of current membership of
1. Microchip number
'RJV16:16:&DW)DQFLHUV$VVRFLDWLRQ:DUDWDK6WDWH&DW
$OOLDQFHRUDQ\RWKHUERG\DSSURYHGE\WKH&KLHI([HFXWLYHDQG
GRFXPHQWDWLRQYHULI\LQJWKHFDWRUGRJLVRIDEUHHGDFFHSWHGE\
WKHUHFRJQLVHGEUHHGHUERG\DQGDVLJQHGVWDWHPHQWIURPWKH
2. Species: dog cat member that the animal is to be kept for breeding purposes.
z Pensioner - current pensioner concession card or other proof

3. ,VWKHDQLPDOGHVH[HG" yes no of status as an eligible pensioner.

z Assistance animal - a statement from a recognised
4. Type of registration - see note opposite assistance animal training organisation (eg NSW Guide Dog
$VVRFLDWLRQ WKDWWKHDQLPDOLVWUDLQHGRULVEHLQJWUDLQHGDVDQ
QRWGHVH[HG assistance animal and is used as an assistance animal.
GHVH[HG z Working dog - the owner must satisfy council that the dog
recognised breeder LVSULPDULO\XVHGIRUWKHGURYLQJWHQGLQJZRUNLQJRUSURWHFWLQJRI
VWRFN LQFOXGHVDGRJEHLQJWUDLQHGDVDZRUNLQJGRJ 
SHQVLRQHU DQLPDOGHVH[HG 
z Registered racing Greyhound - Greyhound registered in
assistance animal accordance with the rules under the Greyhound Racing Act 2009.
working dog ,I\RXDUHVHQGLQJWKLVUHJLVWUDWLRQIRUPWR\RXUORFDOFRXQFLOPDNH
registered racing Greyhound VXUH\RXVHQGFRSLHVQRWRULJLQDOVRIWKHVHGRFXPHQWVDVWKH\
ZRQ¶WEHUHWXUQHGWR\RX&RQWDFW\RXUORFDOFRXQFLO¿UVWWRVHHLI
Note&XUUHQWOLIHWLPHUHJLVWUDWLRQIHHVDUHDYDLODEOHDW they accept applications by post.
 ZZZROJQVZJRYDX

5. Dangerous dog: yes no For Council Use Only

Date order / declaration issued
13. )HH3DLG
/ /
$
14. Receipt number
6. Currently lost animal: yes no

15. Date
7KHRZQHUPXVWEHDSHUVRQ\HDUVRURYHU,IWKHDQLPDOLVD
GRJWKHRZQHUPXVWQRWEHGLVTXDOL¿HGIURPRZQLQJDGRJ / /

16. Receipt issued on behalf of

7. Title:
Council

8.)DPLO\QDPH
17. Signature / stamp of Council registration clerk

9.)LUVWQDPH

18. Date
10 ,I \RX KDYH FKDQJHG DGGUHVVFRQWDFW GHWDLOV RU WKH DQLPDO
has changed owner since the animal was microchipped and / /
\RXKDYHQ¶WQRWL¿HGWKLVFKDQJHSUHYLRXVO\SOHDVHFRPSOHD
Change of Owner / Details form C3A as well.
,YHULI\WKDWWKHLQIRUPDWLRQSURYLGHGRQWKLVIRUPLVFRUUHFW
11. Signature of owner

12. Date
/ /
What happens now Some examples of changed circumstances are:
The registration agent should give you the pink copy of this form. z change of ownership, either sold or given away – the ‘old’ owner
They must enter the information on the NSW Companion Animals PXVWQRWLI\WKHLUFRXQFLOZLWKLQGD\V
Register within 7 days or send the yellow copy of this form to any
local council within 3 days. Once the information has been entered z FKDQJHRIDGGUHVV±ZLWKLQGD\V

RQWKH5HJLVWHU\RXVKRXOGUHFHLYHD&HUWL¿FDWHUHFRUGLQJ\RXU
z change of any other of the animal’s details eg. is desexed
details as the new owner.
±ZLWKLQGD\V
Only authorised people, such as council staff and police, can
z a court declaration that a dog is dangerous is made or revoked
access the information on the NSW Companion Animals Register
and only to enforce the Companion Animals Act 1998. – within 7 days
z WKHDQLPDOGLHV±ZLWKLQGD\V
If you are concerned that disclosure of your information could
jeopardise the safety of you or your family, you may request that z WKHDQLPDOLVPLVVLQJIRUPRUHWKDQKRXUV±ZLWKLQKRXUV
these details be suppressed. If this is the case, we recommend after the animal went missing
that you do not list your animal on any private databases. Please
contact any NSW local council for more information. z the animal has been found after having been reported missing
QRWL¿FDWLRQPXVWEHJLYHQZLWKLQKRXUVDIWHUWKHDQLPDOLV
7KLV LQIRUPDWLRQ LV FROOHFWHG RQ EHKDOI RI WKH 2I¿FH RI /RFDO
IRXQG 
*RYHUQPHQW /RFNHG%DJ1RZUD16: DQGLVKHOG
on the NSW Companion Animals Register. If you don’t notify any of these changes or you give false or
PLVOHDGLQJLQIRUPDWLRQ\RXPD\EH¿QHG
:KDWWRGRLIWKHUHDUHHUURUVRQWKH&HUWL¿FDWH
You can correct or update the information on your animal’s :KDWWRGRLI\RXVHOORUJLYHDZD\WKLVDQLPDO
&HUWL¿FDWHE\FRQWDFWLQJDQ\ORFDOFRXQFLO<RXPD\QHHGWRSURYLGH %HIRUHVHOOLQJRUJLYLQJDZD\\RXUDQLPDO\RXVKRXOGJHWDFRS\
written proof before council can amend your record. of the ‘Change of Owner / Details C3A’ form from any local council.
&RXQFLOZLOOSURYLGH\RXZLWKDQHZ&HUWL¿FDWHRQFHWKHFKDQJHV The form is also available on our website at [Link].
have been processed. DX%RWK\RXDQGWKHQHZRZQHUZLOOKDYHWRFRPSOHWHDQGVLJQ
the form.
:KDWWRGRLIFLUFXPVWDQFHVFKDQJH
If circumstances change, you need to notify any local council to As the ‘old’ owner you have the responsibility of sending the
update your animal’s record within a certain period of time. You FRPSOHWHGIRUPWRDQ\ORFDOFRXQFLOZLWKLQGD\V<RXZLOOQHHG
PD\QHHGWRWDNHDFRS\RI\RXU&HUWL¿FDWHRUDFRS\RIWKLVIRUP WRDWWDFKDFRS\RIWKLVIRUPRU\RXU&HUWL¿FDWHWRWKHµ&KDQJHRI
to the council. Owner Details’ form.