Submit Request

To submit a request fill in all the required information listed below. Mandatory fields are marked with a asterisk. Along with the mandatory fields you must select and provide at least one method to be contacted on.

Request Type Animal Requests - Cat Requests

Sub Category

Location Details

Select the location at which the request is to be lodged against.

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Unit Number House Number

Street Name Suburb Postcode

Name Details

Enter your contact details.

Please select applicable

PersonBusiness

Full Given Names (no abbreviations) Surname* Date Of Birth

Use the same address as above?

Postal Address* Suburb Postcode Please enter at least one daytime contact number Home Phone (eg. 03 5555 5555) Work Phone (eg. 03 5555 5555) Mobile Phone (eg. 0555 555 555) Email Address

Notify By

EmailMailRequest not to be notifiedPhone

Request Description

Enter a descriptive explanation of the request to be lodged.

Description*

Additional Information

Please fill out the following additional information.

My residential address is the same as above?*

Microchip Number (if known)

Tag Number (if known)

Number of Animals (if known)

Animal Breed

Animal Colour

Animal Name*

	Attachment Type	Allowed File Types
	1. Supporting Documentation / Photograph	PDF,JPG,PNG,DOC,DOCX,TIF,TIFF
	2. Copy of pensioner card (front and back) required when requesting a pensioner discount	PDF,JPG,PNG,DOC,DOCX,TIF,TIFF

Attachment Type

Allowed File Types

1. Supporting Documentation / Photograph

PDF,JPG,PNG,DOC,DOCX,TIF,TIFF

2. Copy of pensioner card (front and back) required when requesting a pensioner discount

PDF,JPG,PNG,DOC,DOCX,TIF,TIFF

File
File Title
File Description

Please type the text you see in this image.

Uploaded Files

No Attachments Uploaded

Submit the Request

Click Submit to lodge this request. Once lodged you will receive a eRequest ID which you can use to track the progress of your request using the Track Request menu item.

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