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* Denotes that the field is mandatory.
Animal Infringement Appeal
This form is a legal document and can be used as evidence in Court.
Contact Details
Full name and address details must be provided or this appeal will not be accepted.

Please do not enter any credit card information in this form. If further information is required, an authorised City of Perth Officer will contact you.
Name *
Surname
I am the: *
Postal address *
Suburb *
Postcode *
Phone Number
Mobile Phone
Contact email address *
Appeal
Infringement Number *
Animal Registration Number *
Microchip Number
Infringement Date *
Calendar
Reason for appeal *
Evidence to support Appeal
If you have evidence to support your
appeal, attach here
Delete File
Describe Attachment
(eg. Animal Registration Details)
If you have evidence to support
your appeal, please attach here
Delete File
Describe Attachment
(eg. Other supporting documents)