Dog Fee Waiver/Payment Plan

Thank you for taking the time to lodge your request with the Central District Council. Please note that for payment plans relating to registration fees and impounding fees, weekly payments are required. Please attach any relevant documentation to support your application if applicable.

You will be notified within 7 working days of the decision made regarding the waiver of penalty. If your application is accepted, Council will have the penalty amount credited to your dog owner account. If your application is declined, you will need to discuss payment options with Animal Management staff.

Name

First Name

Last Name

Date of Birth

MM

DD

YYYY

Email

Phone Number

(###)

###

####

Name of the Dog

Name of the dog you request fees to be waivered

Dog Tag Number

Fee to be Waived

Type of fee you request to be waivered

Penalty

Impound

Dog Registration

Other

Reason for Fee Waived

Please outline the reason for waiving the fees.

Dog Fee Waiver/Payment Plan

Central District Council

Location

Contact