0800 727 059
0800 727 059 or council@kaipara.govt.nz
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Dog - Deceased Refund Application

Dog - Deceased Refund Application

This refund is calculated from when this form is received by Council and not from when the dog passed away.

~ 10min. to complete the form

Current Owner Detail

Please enter owner name
Please enter owner telephone
Please enter owner address
Please enter owner email

Dog Details

Please enter dog name
Please enter date deceased
Please enter tag number
Please enter not returned reason

Your Bank Details

Please supply your account details below to enable direct credit payment to be made to nominated account.

Please enter bank name
Please enter bank branch
Please enter account number

By submitting my application, I accept the terms & conditions and that the information I have provided is correct.

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Contact us

Freephone 0800 727 059
Phone 09 439 7059

32 Hokianga Road
Dargaville 0310
New Zealand

Unit 6, The Hub
6 Molesworth Drive
Mangawhai 0505

Private Bag 1001
Dargaville 0340

council@kaipara.govt.nz

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