Dog register update notification

(1)

E&P DOG – March 2017

Signature: Date:

Dog’s name Breed Reg No.

If during the year, you move addresses; sell, give away or become the new owner of a dog; or make changes affecting the details held on the Council’s Dog Register, please fill in this form and email to [email protected] or post to: Tasman District Council, Dog Control, Private Bag 4, RICHMOND 7050

Type of update

CHANGE OF OWNER CHANGE OF ADDRESS (SAME OWNER) TRANSFER OUT OF TASMAN DISTRICT

For transferring into Tasman District, please use normal registration form

Owner name: Owner number:

Address:

Contact telephone: Owner Date of Birth:

FROM:

New owner name: Owner number:

Address: Email:

Contact telephone Home:

Work:

Mobile:

Owner Date of Birth:

TO:

OTHER CHANGES (PLEASE GIVE DETAILS):

Dog’s name Breed Reg No.

NOTE:

It is an offence to make a false statement relating to dog registration

STATEMENT FOR THE PURPOSE OF PRINCIPLE 3 OF THE PRIVACY ACT

1. The information is being collected to enable the Council to maintain its dog register and records 2. The intended user of the information is the Council’s Regulatory Services

3. You have the right of access to and correction of any personal information held about you by the Council 4. this information is held on the Council’s dog register

5. Supply of information from the dog register is strictly limited by Section 35 of the Dog Control Act 1996