Dog Registration

Form 4 (Dog Act 1976)

PMB 22 Newman WA 6753

Ph: (08) 9175 8000

Office Hours Mon-Fri 8:30 to 4:30

Address (Where Dog will ordinarily be kept)
Postal Address (If different from above)
Do you have any convictions for offences against the Dog Act 1976, Cat Act 2011 or Animal Welfare Act 2002 in the past 3 Years? *
Sex *
Sterilised *
Maximum size of ALL attachments is 976.56 MB
Declared Dangerous Dog *
Restricted Dog Breed *
Commercial Security Dog *
Declaration *