Pet registration change of details form

To ensure the City maintains accurate records in relation to your pet registration, please complete this form if any of the following apply:

To register a new pet or to notify the City of a new pet owner, please complete a Pet registration form.

Owner details

First name*

Last name*

Date of birth*

Must be over 18 years of age

Daytime contact number*

Mobile phone number

Email*

Residential address*

Suburb*

State*

Postcode*

Pet name*

Pet gender*

MaleFemale

Registration tag number*

Do you wish to change details for another pet?*

YesNo

Please select the reason for not renewing your pet registration*

Pet deceasedPet(s) (and owner) living at a different City of Stirling addressPet(s) (and owner) no longer residing in the City of Stirling

Upload any supporting documentation (i.e. veterinary certificates or statutory declaration)

By submitting this form you declare that:

You are currently identified as the registered owner or the alternative contact of the registered pet
The information provided is true and correct
The City of Stirling will use your details to issue renewal notices and other relevant information
You are aware that it is an offence to provide false and misleading information.

Declaration
I understand and agree to the above

Retype the numbers below:


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