Thurrock Council

Application for the grant or renewal of a licence tokeep a breeding establishment for dogs

Breeding of Dogs Act 1973, 1991

Breeding and Sale of Dogs (Welfare) Act 1999

Applicant details

1. / Surname
2. / First name(s)
3. / Date of birth
4. / Address
5. Post code
6. / Phone number
7. / Email address
Tick if you DO NOT wish email to be our primary method of communication

Premises details

8. / Business name
9. / Business address
10. Post code
11. / Business phone number.
12. / Name of contact person
13. / Phone number of contact person
14. / Criminal history – Section A / Yes / No
Have you ever been convicted of any offences involving animals?
Have you ever been disqualified under animal related legislation?
If your answer to either of the above questions is "YES",
please supply full details on a separate sheet.
Any information supplied is subject to the Rehabilitation of Offenders Act 1974.
15. / Additional addresses / Yes / No
Are any of the animals used for breeding kept at a separate address?
16. / If yes – what address?
17. / Details of all bitches kept at all premises.
Please indicate which dog(s) are intended to be used for breeding.
Kennel name / Pet name / Age / Breed / To be used
18. / What type of accommodation do you intend to provide?
Please supply a plan of the proposed accommodation facilities, with dimensions. The accommodation will be approved by the Animal Control Service during inspection.

What steps do you take/intend to take for securing that the dogs will at all times be kept in accommodation, suitable in respect of:

19. / Size?
20. / Construction?
21. / Number of occupants?
22. / Temperature?
23. / Lighting?
24. / Ventilation?
25. / Cleanliness?
26. / Exercise facilities?
27. / Visited regularly?
28. / The animals will be adequately supplied with suitable food and water?
29. / Bedding material will be disposed of correctly?
30. / How do you propose to dispose of *waste material from the establishment?
This is a requirement under the Environmental Protection Act 1990
*Waste material – anything that is no longer required is waste, this may include old mail, advertising materials you have been sent and do not want, used cleaning products, remains of food eaten on your premises, cardboard, sweepings, packaging including boxes and bags as well as animal faeces.
31. / What steps do you intend to take to prevent and control the spread of infectious or contagious diseases?
32. / Quarantine Facilities / Yes / No
Will quarantine facilities be provided?
33. / What steps will be taken to protect the animals in case of fire or other emergency?

Welfare of Animals (Transport) (England) Order 2006

34. / Animals being transported to and from your premises may be covered under the Act. What steps will be taken for securing that animals will be supplied with adequate and suitable food, drink and bedding materials and exercise facilities and that the vehicle used for transportation is suitable for that purpose?
35. / Year of Licence Validity / This Year / Next Year
If a licence is to be granted, do you wish it to start (and therefore end) in the year in which you applied for it, or in the next following year?

Declaration

I/we apply for a licence under the Breeding of Dogs Act 1973, 1991 and the Breeding and Sale of Dogs (Welfare) Act 1999.

I/we understand my/our responsibilities under the Act.

I/we declare that the information I/we have given is complete and correct.

I/we enclose the licence fee (cheques made payable to Thurrock Borough Council)

I/we agree to pay any reasonable additional fee for any vet inspection in association with this application.

SignatureDate

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How we will use your information

The purpose for collecting your personal details on this form is to allow Thurrock Council to process your application for the licence you are applying for. This could include collection of irrelevant details of criminal records. Once the form has been completed, the council'sLicensing team will store the details securely and confidentially within an electronicdatabase. Access to the information you provide will be on a strictly need to know basis and the information will be retained for the period that you are licensed by Thurrock Council and up to 7 years after that time, before being securely disposed of / deleted from our systems.

The information may be shared with other council departments or external partners/agencies when the law allows. The council will need to share information with the Audit Commission in order to protect public funds and prevent/detect fraud. All information sharing will be conducted securely in line with the council's policies.

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