The Docking of Working Dogs' Tails (Wales) Regulations 2007

Part 1 — Presentation of dog for Certification

(To be completed by the person presenting the dog for certification)

Details of the person presenting the dog for certification

1.  Name and address:

2.  Relationship to the dog whose tail is to be docked [on [INSERT DATE] by the veterinary surgeon signing the certificate in part 2 below] (delete as appropriate):

• owner of the dog;

• person authorised to represent the owner of the dog.

Details of the dog presented for certification

3.  Date of birth:

4.  Type of dog (tick as appropriate):

a. Spaniels of the following breeds:

• English Springer Spaniel

• Welsh Springer Spaniel

• Cocker Spaniel

b. Terriers of the following breeds:

• Jack Russell Terrier

• Cairn Terrier

• Lakeland Terrier

• Norfolk Terrier

c. Breeds of hunt point retrieve listed below:

• Braque Italian

• Brittany

• German Long Haired Pointer

• German Short Haired Pointer

• German Wire Haired Pointer

• Hungarian Vizsla

• Hungarian Wire Haired Vizsla

• Italian Spinone

• Spanish Water Dog

• Weinmaraner

• Korthals Griffon

• Slovakian Rough Haired Pointer

• Large Munsterlander

• Small Munsterlander

5.  Type of the dam (tick as appropriate):

a. Spaniels of the following breeds:

• English Springer Spaniel

• Welsh Springer Spaniel

• Cocker Spaniel

b. Terriers of the following breeds:

• Jack Russell Terrier

• Cairn Terrier

• Lakeland Terrier

• Norfolk Terrier

c. Breeds of hunt point retrieve listed below:

• Braque Italian

• Brittany

• German Long Haired Pointer

• German Short Haired Pointer

• German Wire Haired Pointer

• Hungarian Vizsla

• Hungarian Wire Haired Vizsla

• Italian Spinone

• Spanish Water Dog

• Weinmaraner

• Korthals Griffon

• Slovakian Rough Haired Pointer

• Large Munsterlander

• Small Munsterlander

Certification Requirements

6.  The dog is likely to be used for work in connection with (tick as appropriate):

a. law enforcement;

b. activities of Her Majesty’s armed forces;

c. emergency rescue;

d. lawful pest control; or

e. the lawful shooting of animals.

7.  Where the dog is likely to be used for work in connection with one or more of the purposes listed in paragraph (6)(a) to (c), one or more of the following must be submitted with this form (tick as appropriate):

a. armed forces identification;

b. emergency rescue identification;

c. police identification;

d. prison service identification;

e. HMRC identification;

8.  Where the dog is likely to be used for work in connection with lawful pest control, the following must be submitted with this form:

a. evidence that the owner of the dog, or an agent or employee of the owner, is likely to use the dog for work in connection with that purpose; or

b. written evidence from one of the following (tick as appropriate):

i. a gamekeeper;

ii. a land-occupier (or his or her agent);

iii. a person with shooting rights;

iv. a shoot organiser;

v. a club official;

vi. a person representing the National Working Terrier Federation;

stating that the breeder of the dog whose tail is to be docked is known to him or her and that dogs bred by that breeder have been used (as the case may be) on his or her land, or in his or her shoot, or for pest control.

9.  Where the dog is likely to be used for work in connection with the lawful shooting of animals, the following must be submitted with this form:

a. a current shotgun or firearm certificate issued to the owner of the dog, or to an agent or employee of the owner that is likely to use the dog for work in connection with the lawful shooting of animals; or

b. written evidence from one of the following (tick as appropriate):

i. a gamekeeper;

ii. a land-occupier (or his or her agent);

iii. a person with shooting rights;

iv. a shoot organiser;

v. a club official;

vi. a person representing the National Working Terrier Federation;

vii. or a person engaged in lawful pest control

stating that the breeder of the dog whose tail is to be docked is known to him or her and that dogs bred by that breeder have been used (as the case may be) on his or her land, or in his or her shoot, or for pest control.

Declaration

I confirm that the information provided above and the evidence submitted with this form are true and accurate.

I am aware that it is an offence knowingly to give false information to a veterinary surgeon in connection with the issuing of a certificate for the purposes of section 6 of the Animal Welfare Act 2006.

Signature of person presenting the dog for certification:

Name:

Date: