Change of Dog Owner Details
Signature
Date
Change of Owner (Section 48 Dog Control Act 1996)
Ofce Use
Address Updated
Queen Street, P O Box 404, Te Kuiti 3941, NZ. Telephone 07-878 0800, Fax 07-878 7771, Email enquiries@waitomo.govt.nz, Website www.waitomo.govt.nz
Owner Name
Previous Address
New Property Location
(if different from above)
Phone (home) Mobile
Phone (work)
Contact Numbers
Change of Address (Section 49 Dog Control Act 1996)
If you change your address, you are required by the Dog Control Act 1996 to advise us within 14 days. Please
complete the following details and return this form to us so that your record can be updated.
Owner ID (if known)
New Address
Dog(s) moving to new address
If you sell or give your dog away, you are required by the Dog Control Act 1996 to provide details of the new
owner and the address at which the dog will be kept. Please complete the following details and return this form
to us and we will transfer your dog’s records to the new owner, or if appropriate to the relevant Council.
Particulars of Previous Owner
Name
Address
Dog(s)
has been sold or given to a new owner.
Particulars of New Owner
Name
Address
Phone (home)
Contact Numbers
Mobile
Owner Group Updated if required
Change of Address
Change of Owner
Amend dog record
Dog Transferred Out
Advise new Council
Transfer out of Waitomo District
Add new owner if not currently
in NCS
394337 : AC7 : P1 of 1
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