Customer Request Management Entry

Instructions

Please complete all relevant sections of the form

Please note:
Changing your email address with Council will update all Council email contacts including Rates and Water Notices via email.
Only one email address can be held for the owner of single or multiple properties.

Animal - Update Animal Registration Details

Are you the registered owner? (Required)

Customer name

Customer

Name

Code

Surname *

Given Name * / Second Name

Contact Details

Postal address

Street address line 1 *

Street address line 2*

Street address line 3

Postcode *

Postal address if different from residential

Street address line 1 *

Street address line 2*

Street address line 3

Postcode *

Work phone

Home phone

Mobile phone

Email address *

Alternate phone

What is your preferred method of contact?

Not required

Telephone

Animal Name (Required)

Animal Owner's Name (Required)

Owner's Contact Phone Number (Required)

Animal's Reference Number or Tag Number

Animal's Current Registered Address (Required)

I would like to update my Animal's Registered Address (Required)

Yes

New "Registered Address" (if applicable)

My Animal has been Desexed You must provide proof to Council of Desexing by uploading the Certificate above or Emailing a copy to Council regadmin@cairns.qld.gov.au (Required)

Yes

Upload Desexing Certificate * Required when Animal has been Desexed

Browse for an attachment to link to this application

I would like to Receive my Animal Renewal via Email (Required)

Yes

Confirm Email Address (Required)

I have read and accept the terms and conditions of use for Council's Online Self Service. (Required)

Yes

/eservice/dialog