Application to register new dog(s)
Please read this first
This form will be scanned by electronic equipment. It is important that you:
use a blue or black pen to complete this form; and
print clearly.
Failure to supply any of the information requested in this form that is relevant to your application may prevent the
registration of your dog, and an infringement fee issued. Please request the Tararua District Council to correct or amend
any owner or dog details if you discover a mistake or if the relevant circumstances change. You are required to notify the
Tararua District Council of any change of address or change in the ownership of the dog on the relevant form.
Dog Microchipping
All newly registered dogs and puppies are required to be microchipped within two months of first being registered. Any vet
can mircochip your dog and will issue you a verification certificate. You must present or send this certificate to Council.
Farm dogs used solely or principally for herding or driving stock are exempt from microchipping. It’s highly recommended
that all farm dogs are microchipped, though, especially if collars and tags are not worn.
Office use only
Receipt
Parcel ID
NAR
tararua district council
26 gordon street
po box 115
dannevirke 4942
06 374 4080
info@tararuadc.govt.nz
For the year 1 July 2020 to 30 June 2021 Pursuant to Section 36 of the Dog Control Act 1996
Dog owner details (Please print in CAPITALS)
No dog will be accepted for registration unless owner details, including date of birth, are entered correctly, as required by the Dog
Control Act 1996.
Title: Mr Mrs Miss Ms
First names
Surname
Postal address
Town Postcode
0
-
0
-
0
-
Home phone number Work phone number Mobile phone number
Email
/ /
Owner’s date of birth
Location of dog(s)
Physical address of property that dog(s) are kept at
application to register new dog(s)2
Details of dog(s)
1.
yrs mths
Yes No
Dog name Age of dog Sex Neutered?
/ /
Breed 1
Breed 2 Colour 1 Colour 2
Ofce use only
Dog ID Fee code Classication Tag number Fee
$
2.
yrs mths
Yes No
Dog name Age of dog Sex Neutered?
/ /
Breed 1
Breed 2 Colour 1 Colour 2
Ofce use only
Dog ID Fee code Classication Tag number Fee
$
3.
yrs mths
Yes No
Dog name Age of dog Sex Neutered?
/ /
Breed 1
Breed 2 Colour 1 Colour 2
Ofce use only
Dog ID Fee code Classication Tag number Fee
$
4.
yrs mths
Yes No
Dog name Age of dog Sex Neutered?
/ /
Breed 1
Breed 2 Colour 1 Colour 2
Ofce use only
Dog ID Fee code Classication Tag number Fee
$
For additional dogs, please request another form.
Total fee
$
Declaration
I hereby conrm that the above information relating to dogs in my care is correct, and I do not own or have in my possession any
other dogs over the age of 3 months. I understand my obligation as contained in Section 52 and 54 of the Dog Control Act 1996 (see
next page).
I declare that the dogs recorded above as neutered are so neutered. I declare that I am currently not a disqualied owner pursuant
to Section 25 of the Dog Control Act 1996.
/ /
2 0
Signature of dog owner Date
click to sign
signature
click to edit
application to register new dog(s) 3
Notes on registration
All dog owners with dogs ordinarily kept in the Tararua district must
register their dogs with the Tararua District Council.
All dogs over the age of three months must be registered.
It is an offence to keep a dog older than three months that is
unregistered. On conviction, a court may impose a ne of up to
$3,000.
On completing the form properly, a dog owner may post the form,
together with the appropriate fees payable, to the Dog Registrar at
PO Box 115, Dannevirke 4942, or deliver these items to the ofce of
the Tararua District Council.
It is an offence, when applying for the registration of a dog, to make
any written statement knowing that statement to be false. On
conviction, a court may impose a ne of up to $3,000.
Replacement tags may be obtained from the Tararua District
Council if the current tag has been lost or stolen.
Any dog not wearing a collar having a current registration
tag attached will, until the contrary is proved, be treated as
unregistered.
On change of ownership of any registered dog, both the previous
owner and the new owner must, within 14 days, give written
notice to the Tararua District Council, of the change of ownership
and the residential address of the new owner and the address at
which the dog will be kept. It is an offence not to comply with this
requirement. On conviction, a court may impose a ne of up to
$500.
If the owner’s address is changed within the district, the owner
must, within 14 days, give written notice of the change to the
Tararua District Council.
If any dog is transferred to and kept in the district of another
territorial authority, other than the one in which it has been kept, for
1 month or more, the owner must, within 6 weeks of the transfer,
give written notice of the transfer to both territorial authorities,
setting out the address at which the dog will be kept. It is an
offence not to comply with this requirement. On conviction, a
court may impose a ne of up to $500.
If the fee for the registration of a dog is paid and that dog dies, a
refund will be made on request as follows:
Where the dog dies during the year, 1/12th of the annual fee
for each complete month remaining in the registration year,
after the date of application for a refund, will be refunded.
If any dog is rst required to be registered after 1 August in any
registration year, the fee shall be 1/12th of the annual fee for each
complete month remaining in the registration year after the date of
such registration.
The registration fees include goods and services tax.
If any dog over the age of three months is found not wearing a
collar with a current registration tag attached, on land or premises
other than its owner’s land or premises, or in any public place, the
dog may be seized and impounded.
Control of dogs
Sections 52, 53 and 54A, Dog Control Act 1996
The owner of a dog must keep the dog under control at all times
and, when in a public place with the dog, must use or carry a leash
at all times.
A dog will be treated as not being under control—
if it is found at large on any land or premises other than a
public place or a private way without the consent (express
or implied) of the occupier or person in charge of the land
or the premises; or
if it is found at large in any public place or in any private way
in contravention of any regulations or bylaw.
You will commit an offence and be liable on conviction to a ne not
exceeding $3,000 if you fail to comply with this provision.
Obligations of dog owner generally
Section 54, Dog Control Act 1996
The owner of a dog must—
ensure that the dog receives proper care and attention
and is supplied with proper and sufcient food, water, and
shelter; and
ensure that the dog receives adequate exercise.
You will commit an offence and be liable on conviction to
imprisonment for up to three months or to a ne not exceeding
$5,000 if you fail to comply with this provision.
Obligations of dog owner on owner’s
property
Section 52A, Dog Control Act 1996
The owner of a dog must ensure, when the dog is on land or
premises occupied by the owner,—
that the dog is under the direct control of a person; or
that the dog is conned within the land or premises in such
a way that it cannot freely leave the land or premises.
You will commit an offence and be liable on conviction to a ne of
$3,000 if you fail to comply with this provision. In addition, a dog
control ofcer or dog ranger may seize and impound the dog.
Guidelines for dog owners
Applicant copy
Please detach and keep for your reference.