Pet licence application form (for homeowners)

Are you a leaseholder? *

Yes

Please call 0800 3 282 282 to request written permission to keep a pet in your home.

Your name

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

Would you like to receive a copy of your submitted information by email?

Yes

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

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. *