Privacy Notification: Some of the information that you are asked to provide in this Application is

personal information, such as your name and contact information. This information is being collected

for the purpose of assessing your eligibility for a de-sexing voucher, as part of the Central Coast Council

Subsidised Desexing Program. The information will be accessible by Council staff. It is voluntary to

provide personal information on this form, however if the information is not provided, the application

will not be approved. Applications to access or amend the personal information provided on this form

may be made to Central Coast Council.

Desexing

Saves

Lives

Application For Central Coast Council Subsidised Desexing Voucher

1 July 2018 – 30 June 2019

The Central Coast Council Subsidised Desexing Program will run for the period 1 July 2018 to 30 June

2019. The objectives of the Program are to support the Central Coast community in responsible pet

ownership, and to reduce the cost to the community of desexing a cat or dog. The Program involves the

distribution by the Council of desexing vouchers to members of the public, which in turn will only be

able to be used for the desexing services of veterinary practices included in the Program.

PLEASE READ THE IMPORANT INFORMATION ON PAGE 3 OF THIS FORM BEFORE

SUBMITTING YOUR APPLICATION. YOUR ANIMAL MUST BE MICROCHIPPED IN ORDER

TO SUBMIT AN APPLICATION, AND YOU MUST BE THE OWNER OF THE ANIMAL AND A

RESIDENT OF THE CENTRAL COAST LOCAL GOVERNMENT AREA.

Residential Address:

Name:

Postal Address: (if different from above)

Applicant’s Details: (Applications must be made by the registered owner of the animal)

Email:

Preferred Contact Number:

Concession Type (Original must be sighted at lodgement)

Name:

Type:

Animals Details:

Gender: M F

Microchip Number:

Breed: Colour:

Preferred Vet Surgery:

Signature:

How did you find out about the Desexing Saves Lives Program:

Why are you desexing your pet?

Have you desexed your pets in the past, why / why not?

Did you learn anything as part of your involvement in the Desexing Saves Lives Program? Yes No

If yes please provide details:

To be eligible for a voucher:

1. Your animal must be identified (by way of a microchip) in accordance with s.8 of the Companion Animals

Act 1998. Information about microchipping your pet is available from the Council's website.

2. You must be the owner of the animal.

3. You must be a resident of the Central Coast local government area.

4. You must be in receipt of a pension or other entitlements from Centrelink and/ or the Department of

Veterans' Affairs. Concession cards are required to be sighted on receipt of application.

Making an application:

5. All applications must be submitted at one of Council's Customer Service Centres located at 49 Mann

Street Gosford or 2 Hely Street Wyong.

6. Applications can be made during 1 July 2018 to 30 June 2019. No applications made outside of this time

will be accepted.

7. Council has absolute discretion and reserves all rights to verify the validity of applications.

8. You may apply for vouchers for up to two (2) animals for which you are the registered owner. Separate

applications have to be submitted for each animal.

9. Approval of applications is at the absolute discretion of Council. Successful applicants will be notified via

email or in writing by the Council.

How to use the voucher:

10. If your application is successful, and you receive a voucher, the voucher can only be used for desexing

services at an approved veterinary practice during the period 1 July 2018 to 30 June 2019. Details of

approved veterinary practices are available on the back of this form, or the Council's website.

11. A voucher is not redeemable for cash, and is not transferrable. Desexing vouchers are for the following

monetary values:

- Desexing voucher for a female dog, $180;

- Desexing voucher for a male dog, $150; and

- Desexing voucher for a cat, $70.

12. The veterinary practice you go to will discount the cost of the desexing service you obtain, by the

monetary value of the voucher. The voucher does not cover the full cost of the desexing services you

obtain.

13. The Council has no obligations or liabilities in relation to your use of the voucher, or the provision of any

desexing services to you by an approved veterinary practice. You agree that the Council is not liable for

any claims, losses, damages, penalties or demands for any loss resulting from the use of the voucher, or

any desexing services you obtain.

14. The Council reserves its rights to terminate the program at any time, and without notice. Any vouchers

not used during the term of the program are forfeited. The term of the program is from 1 July 2018 to

30 June 2019, unless terminated by the Council prior to that time.

15. Approved Veterinary Practices

IMPORTANT INFORMATION:

Bateau Bay Vet Hospital 4332 8117

Central Coast Vet Centre 4329 0500

Charmhaven Vet Hospital 4393 2628

Coast Animal Health 4392 8822

Doyalson Animal Hospital 4399 2129

Empire Bay Veterinary Hospital 4363 2222

Greencross Vets Wyong 4353 2833

Greencross Wyoming Vet Hospital 4324 1577

Kanwal Veterinary Hospital 4392 2088

Long Jetty Veterinary Clinic 4334 3838

Paw Prints Vet Clinic Gwandalan 4972 6005

Point Clare Vet Hospital 4324 5488

Somersby Animal Hospital 4372 1799

Terrigal Vets 4365 2300

Tuggerah Veterinary Clinic 4353 9414

Umina Vets 4341 6659

Woy Woy Veterinary Hospital 4341 8146