Cat Registration - WA Cat Act 2011, Section 5(1) & Cat Regulations 2012 - Form 1

Oct 3, 2026

Cat registration application form for owners submitting a new registration or transferring from a previous Shire. The form collects owner identity and contact details, including an alternative contact who may act if the owner is unavailable, plus cat details such as name, age, sex, sterilisation status, exemptions, colour, breed, and microchip number. It also records declarations, convictions related to specified animal acts, and required attachments, and provides registration fee options and payment methods.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages2

Reading Time5 min

AccessFree to download

Part A – Owner’s Details

Part B – Owner’s Alternative Contact

Part C – Cat Details

Part D – Cat Owner to Complete

Part E – Payment Details

Cat Registration WA Cat Act 2011, Section 5(1) & Cat Regulations 2012 – Form 1 New Registration Transfer from previous Shire Please Note – An original Certificate of Sterilisation and Microchip Registration or certified copies thereof must be submitted with this application form. | Part A – Owner’s Details: You must be 18 years, or over, to register a cat in your name. | | | | | | | | | | | | | | | | | | | | | | | | | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | | Cat owner’s name: | | | | | | | | | | | | | | | | Date of birth: | | | | | | | | | Residential address: | | | | | | | | | | | | | | | | | | | | | | | | | Postal address: | | | | | | | | | | | | | | | | | | | | | | | | | Contact number/s | H: | | | | | | | | M: | | | | | | | | | | W: | | | | | | Email: | | | | | | | | | | | | | | | | | | | | | | | | | Part B – Owner’s Alternative Contact: Delegate to act on behalf of owner if owner uncontactable. | | | | | | | | | | | | | | | | | | | | | | | | | Name: | | | | | | | | | | | | | | | | | | | | | | | | | Contact number/s | H: | | | | | | | | M: | | | | | | | | | | W: | | | | | | Part C – Cat Details | | | | | | | | | | | | | | | | | | | | | | | | | Cat Name: | | | | | | | | | | Cat’s Age - Years: | | | | | | | | | | | Months: | | | | Male 􀂅 Female 􀂅 | | | | | | | | | | Is the cat sterilized? Yes 􀂅 No 􀂅
(Copy of Certificate required.) | | | | | | | | | | | | | | | Colour: | | | | | | | | | | Breed: | | | | | | | | | | | | | | | If No: Is the exemption granted by a veterinarian? Yes 􀂅 No
Please give details of the exemption including details of issuing veterinarian and written | | | | | | | | | | | | | | | | | | | | | | | | | Number of cats to be located at the premises:- | | | | | | | | | | | | | | | | | | | | | | | | | Microchip No: | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Pensioner Concession /Senior’s Card: Yes No | | | | | | | | | | | | | | | | | | | | | | | | | Part D – Cat Owner to Complete | | | | | | | | | | | | | | | | | | | | | | | | | Do you have any convictions for offences against the Dog Act 1976 , Cat Act 2011 or Animal Welfare Act
2002 in past 3 years? Yes No
If Yes, please give details, specify the date of the conviction(s), nature of the offence(s) and the legislation involved:- | | | | | | | | | | | | | | | | | | | | | | | | | | 1 year registration | 3 year registration | Lifetime registration | | --- | --- | --- | --- | | Standard Fee | $20.00 | $42.50 | $100.00 | | Pensioner Concession | $10.00 | $21.25 | $50.00 | 􀁸 Cats must be registered with the local government by the time they reach six months of age. 􀁸 Cats that reached six months of are to be sterilised, unless exempt. Owner’s Declaration to be Completed (Read and Sign) The Shire may refuse an application if any or all required information is not provided: I, (Owner’s Full Name) Of (Owner’s Address) The information I have provided is true and correct to the best of my knowledge and belief and I am aware that it is an offence to provide false or misleading information. Signature Date: | Shire of Harvey Use Only
Registration approved (􀀹) : Yes No
Receipt No.………………Tag No………………. CSO(printed)……………Signature ................... | | --- | | Attached: Proof of Microchip 􀂅 Proof of Sterilisation 􀂅 Owner’s Declaration signed 􀂅 | | Part E – Payment Details | | | | | --- | --- | --- | --- | | Paymen

FAQs

What documents must be submitted with the cat registration application?

An original Certificate of Sterilisation and Microchip Registration, or certified copies, must be submitted with the application form.

What information is required for the cat in Part C?

The cat’s name, age (years and months), sex, sterilisation status (or exemption details), colour, breed, and microchip number are required.

How can the registration fee be paid?

Payment options include paying in person (cash, cheque, Eftpos), by mail (cheque payable to the Shire of Harvey), by credit card, or online for renewals only.

Oct 3, 2026

Uploaded by MrHarris58