Assistance Dog Registration Form

Step 1 of 7

Details of Dog Owner/Handler

Name(Required)

Title First Last

Date of birth(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region Post code Country

Contact number(Required)

Email(Required)

Postal address

Street Address Address Line 2 City State / Province / Region Post code Country

(if different to above)

Parent or Guardian Details

Where the owner/handler of the assistance dog is under the age of 18, the details of the parent or guardian will need to be provided below.

Name

Title First Last

Parent/guardian address

Street Address Address Line 2 City State / Province / Region Post code Country

(if different to above)

Parent/guardian contact number

Relationship to applicant

Assistance Dog Free Registration Terms and Conditions

It is important that you understand the terms and conditions of the registration fee exemption for assistance dogs before you apply.
The Commonwealth Disability Discrimination Act 1992 and Victoria’s Equal Opportunity Act 2010 protect people with disabilities from discrimination. This includes protection from discrimination because a person has an assistance dog. The registration fee exemption does not provide further protections or access rights for assistance dogs, it only entitles an assistance dog to a registration fee exemption with council.
To be eligible for the assistance dog registration fee exemption, it is a requirement that your dog is not:

a declared dog (menacing or dangerous)
a restricted breed dog
younger than 12 months of age.

Your assistance dog must be both obedience trained and trained to alleviate the effects your disability. Obedience training must be provided by a dog trainer, where: Dog trainer means a person who:

provides training at a dog obedience training organisation approved under section 5B of the Act; or
has a Certificate III in Dog Behaviour and Training or Certificate IV in Companion Animal Services.

Obedience training means a training program that assesses an assistance dog in the following:

heeling or walking with a handler, without sniffing, marking or wandering;
sociability with other dogs;
responsiveness to a handler’s commands, including staying on command (known as a stay test) and coming to a handler on command (known as a recall test);
absence of aggression towards humans or other animals;
absence of anxiety, stress, fear, or undue excitement when in public places; and
standard of hygiene appropriate for a public place.

If you, as the owner/handler of the assistance dog, are convicted of two or more offences under the Domestic Animals Act with respect to the same assistance dog, the assistance dog is no longer eligible for the zero registration fee and you will be required to pay the full registration fee.
It is understood that the applicant accepts the ‘Assistance dog free registration terms and conditions’ when submitting this application form.

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Assistance Dog Registration Form

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