Please resolve the following issues before proceeding
Click on an issue to go directly to the related section of the form.
errors found:
warnings found:

Getting started

CC11244 - Dog Registration Tag Application
Fields marked with * are required
Privacy Statement
The personal information collected on this form will be used by Brisbane City Council for the purposes of dealing with your application as set out in the Right to Information Act 2009 or the Information Privacy Act 2009. Your personal information will not be disclosed to any third party without your consent, unless this is required or permitted by law.
Note: rollover or click
Brisbane City Council
for access to additional information
You can use this form to request a personalised metal tag for your dog.

Before continuing with this form, you must know your dog’s tag number. To find out your dog’s tag number, please check their current registration tag or contact Council on 07 3403 8888.

If your dog’s standard registration tag is lost, damaged or faulty, you can submit a request for replacement here.

Note: Personalised dog registration tags are produced by a company on behalf of Brisbane City Council. By making payment, you consent to Council passing on the details you have provided for the purposes of engraving and posting the tag directly to you.

Application Details

Are you applying for: *

Do not proceed with this application. To apply for a standard tag, please submit your request here.

How many dog tags do you require? *

Do you know your dog tag number (s)? *

Do not proceed with this application. Before continuing with this form, you must know your dog’s tag number. To find out your dog’s tag number, please contact Council on 07 3403 8888.

Dog tag number: *

Dog tag type: *

Dog tag colour: *

Second Dog tag number: *

Second Dog tag type: *

Second Dog tag colour: *

Dog details

CC11244 - Dog Registration Tag Application
Fields marked with * are required

First dog details

Dog's name: *

Gender: *

Is your dog under 12 weeks old? *

Year of birth: *

Microchip number *

Note: It is a legal requirement for your dog to be microchipped. Your dog’s microchip number can be obtained from either your vet or the microchip database that you have your dog registered with. For more information, please see Requirements for cat and dog owners.

Dog primary breed: *

Dog secondary breed:

Dog primary colour: *

Dog secondary colour:

Is your dog desexed? *

Second dog details

Dog's name: *

Gender: *

Is your dog under 12 weeks old? *

Year of birth: *

Microchip number *

Note: It is a legal requirement for your dog to be microchipped. Your dog’s microchip number can be obtained from either your vet or the microchip database that you have your dog registered with. For more information, please see Requirements for cat and dog owners.

Dog primary breed: *

Dog secondary breed:

Dog primary colour: *

Dog secondary colour:

Is your dog desexed? *

Owner's Details

CC11244 - Dog Registration Tag Application
Fields marked with * are required

Individual details

Do you have an Australian Business Number (ABN)? *

Provide your Australian Business Number (ABN) details. *

If you do not hold a current ABN, you will be required to complete a ‘Statement by a Supplier’ form (available from the Australian Taxation Office) before entering into any funding agreement with the Australian Government.

Do you want your phone number to be included on your dog tag (s)? *

Address where the dog/s are kept

Address details

Has the address where the dog/s are kept changed in the last 12 months? *

Previous address details

Is the postal address the same as the address where the dog/s are kept? *

Postal address details

Agreement

CC11244 - Dog Registration Tag Application
Fields marked with * are required

Applicant’s agreement and signature

I understand that personalised dog registration tags are produced by a company on behalf of Brisbane City Council. By making payment, I consent to Council passing on the details I have provided for the purpose of engraving and posting the tag directly to me.
I understand that the details, as entered on this form, will be used for the creation of my new tag(s) and that any errors resulting from the information I enter on this form are not the responsibility of Brisbane City Council or their suppliers.
I understand that the information provided in and with this application may be disclosed publicly under the Right to Information Act 2009.
I am aware that it is an offence to knowingly provide false information.

Are you the dog(s) owner? *

Signature
Signature
I acknowledge Queensland State Laws will accept this communication as containing my signature within the meaning of the Electronic Transactions (Qld) Act 2001.

Pay Online

CC11244 - Dog Registration Tag Application
Fields marked with * are required
Dog Registration Tag Application
Description
Amount
GST
Amount
(incl. GST)
Please select your payment method: *
Pay online with our safe and easy Credit/Debit Card facility.
image Visa
image MasterCard
Brisbane City Council
Brisbane City Council

Lodgement

CC11244 - Dog Registration Tag Application
Fields marked with * are required

Online submission

Do you have a Mastercard or Visa ready to make payment? *
If you are not ready to complete your submission at this time, you can save the form online and return to complete it when ready.
Please select the Save and Close button at the top of the page.
If you are ready to submit your application please select the Submit button at the bottom of the page.

Receipt

CC11244 - Dog Registration Tag Application
Fields marked with * are required
Your form has been successfully submitted. Please keep a copy of this acknowledgement for your records.
To save or print a copy of the completed form and acknowledgement go to the "File" menu and select "Save as" or "Print".
Your submission details:
Brisbane City Council
BRISBANE CITY COUNCIL
Brisbane City Council
ABN 72 002 765 795
Official Receipt
Tax Invoice
Description
Amount
GST
Amount
(incl. GST)
Call 133 BNE (133 263) for business enquiries