Dog Registration Refund Request

*- indicates required field.

Dog Owner Details

Owner's Surname *

Owner's first name(s) *

Contact ID *

Postal address *

Can't find your address? Click here to enter it manually

Date of birth *

Email *

Telephone (Day) *

Area Number

Telephone (After Hours) (optional)

Area Number

Telephone (Mobile) (optional)

( )-

Country Code Number

Dog Details

Name of Dog *

Dog ID *

Address where dog was kept *

Can't find your address? Click here to enter it manually

Registration Tag Number (optional)

Refund

Reason for Refund Request *

Deceased

Overpayment

I Request a Refund

The refund amount will be calculated from the date the dog’s death is notified. If a death certificate is provided, and the death occurred within the three months prior to notification, the refund may be calculated based on the date stated on the certificate. Any approved refund will be processed to the nominated account within 10 to 15 working days.

Tick to Confirm *

Providing details knowingly to be false will incur a $750 Infringement notice

I request a refund of any unused registration fee to be paid to

Providing details knowingly to be false will incur a $750 Infringement notice

Account Holder Name *

Bank Account *

- - -

BankBranchAccount NumberSuffix

Bank Account Verification - A bank generated document that matches the details of the applicant applying for the refund is required *

Upload

(pdf, doc, docx, txt, png or jpeg)

Full Name *

Date *

You can contact us by:

E: info@westernbay.govt.nz

P: 0800 WBOPDC - 0800 926 732

Barkes Corner, 1484 Cameron Road, Tauranga

Private Bag 12803, Tauranga Mail Centre, Tauranga 3143