Dog and Cat Desexing Voucher

Dog and Cat Desexing Voucher
Owners details
Name*

First NameLast Name
Residential address*

Address

Address Line 2

SuburbState

Post code
Mobile*
Please enter a valid phone number.Format: 0400-000-000.
Email*
example@example.com
Date of birth

MonthDayYear
Date
Animals details
Name*
Breed
Date of birth

MonthDayYear
Date
Colour
Microchip number*
MaleFemale
Please upload eligibility documents, including proof of vaccinations and concession card.*

Cancelof
Vet appointment details
You must schedule your vet appointment within 1 month of applying for the voucher as the desexing voucher is valid for 1 month from the date of issue.
Location of vet clinic
Booked appointment date

MonthDayYear
Date
Booked appointment time

Hour Minutes

AM/PM Option
Any other requests or comments
Collection of information
Personal information collected by Council is used for municipal purposes as specified in the Local Government Act, 2020 or other relevant legislation. The personal information will be used solely by Council for these purposes and or directly related purposes. Council may disclose this information to other organisations, if required by legislation.

The collection and handling of personal information is conducted in accordance with Council’s Privacy Policy. Please refer to Council's Privacy Statement and Privacy Policy on our website for further information about your rights.
I have read and agree to Council's Privacy StatementI confirm that I have provided Mitchell Shire Council with true and accurate information
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Dog and Cat Desexing Voucher

Owners details

Animals details

Vet appointment details

Collection of information