Are you a leaseholder? * Yes No This pet licence is only for homeowners. If you are a tenant please check your tenancy agreement. More information is available in the Tenants area of this website. Your name Your email address Your address Your postcode Type of animal * Breed (if known/applicable) Name of pet * Approximate age of pet * Colour of pet * Micro-chip number Micro-chip certificate Include a photo of your micro-chip certificate Communicating with you Our privacy statement sets out how we look after your personal data. Would you like to receive information in an accessible format (eg braille, audio)? Yes No Which accessible format would you prefer? Braille Large print Easy read Audio CD Language translation Sign language/interpreter Text relay Other Which language? Please specify Please confirm that you are not a robot by ticking the box below.