* Denotes that the field is mandatory.

Please provide full details to enable our officers to action your request.

If you have any questions, please contact Customer Service on 1300 635 845, weekdays 8.30am - 5pm.

**Please Note that this session will timeout after 10 minutes and your data may be lost

Infringement Number *
Please add your reasons for appealing the animal infringement *
Your Full Name *
Postal Address *
E-Mail Address *
Phone Number *
It is important to submit any supporting evidence such as a photocopy of your registration papers or sterilisation certificate.

**Note Attachments must not exceed 10 MB for the combined total of all attachments.
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Attachment 1
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