Authority to Control Wildlife Application Form - Kangaroo Pet Food Trial Landholders seeking to control Eastern and Western Grey Kangaroos in the below shires are eligible to participate in the Kangaroo Pet Food Trial. For further information please see the DELWP factsheet Kangaroo Pet Food Trial: information for landholders. Ararat (Rural City of) Benalla (Rural City of) Glenelg Greater Bendigo Horsham Loddon Mansfield Mitchell Murrindindi Northern Grampians Pyrenees Southern Grampians Strathbogie Wangaratta West Wimmera Yarriambiack 1. Do you hold a current ATCW for Eastern or Western Grey Kangaroos for a property located within the trial area and wish to transfer to a KPFT ATCW? No (proceed to Q. 4) Yes Current ATCW number 2. How many kangaroos have been controlled under this authority? Species No. already controlled 3. Does this authority include other wildlife? No (Please sign below) Yes Species of wildlife No. already controlled By signing below, your current ATCW will be cancelled and a new KPFT ATCW will be issued. You must supply a Property Identification Code (PIC) for the KPFT ATCW to be issued. If your current ATCW also includes other species, then a new ATCW for those species will also be issued. National Property Identification Code (PIC) Acknowledgment by Authority Holder I, the holder of the specified (name of applicant) ……………………………………………………………………..………………… being Authority to Control Wildlife noted in Question 2, request that this Authority be cancelled for the balance of kangaroos remaining for the purposes of participating in the DELWP Kangaroo Pet Food Trial. SIGNATURE of Authority Holder DATE signed ………………………………………………… ……………………………… Please complete the details below and submit the form to your local DELWP Office. See page 4 for details. Note: If you to question 1 above, you are only required to complete sections 4 answered ‘yes’ – 10 and sign the declaration in section 14. details 4. Applicant’s personal
Authority to Control Wildlife Application Form - Kangaroo Pet Food Trial Landholders seeking to control Eastern and Western Grey Kangaroos in the below shires are eligible to participate in the Kangaroo Pet Food Trial. For further information please see the DELWP factsheet Kangaroo Pet Food Trial: information for landholders. Ararat (Rural City of) Benalla (Rural City of) Glenelg Greater Bendigo Horsham Loddon Mansfield Mitchell Murrindindi Northern Grampians Pyrenees Southern Grampians Strathbogie Wangaratta West Wimmera Yarriambiack 1. Do you hold a current ATCW for Eastern or Western Grey Kangaroos for a property located within the trial area and wish to transfer to a KPFT ATCW? No (proceed to Q. 4) Yes Current ATCW number 2. How many kangaroos have been controlled under this authority? Species No. already controlled 3. Does this authority include other wildlife? No (Please sign below) Yes Species of wildlife No. already controlled By signing below, your current ATCW will be cancelled and a new KPFT ATCW will be issued. You must supply a Property Identification Code (PIC) for the KPFT ATCW to be issued. If your current ATCW also includes other species, then a new ATCW for those species will also be issued. National Property Identification Code (PIC) Acknowledgment by Authority Holder I, (name of applicant) ……………………………………………………………………..………………… being the holder of the specified Authority to Control Wildlife noted in Question 2, request that this Authority be cancelled for the balance of kangaroos remaining for the purposes of participating in the DELWP Kangaroo Pet Food Trial. SIGNATURE of Authority Holder ………………………………………………… DATE signed ……………………………… Please complete the details below and submit the form to your local DELWP Office. See page 4 for details. Note: If you answered ‘yes’ to question 1 above, you are only required to complete sections 4 – 10 and sign the declaration in section 14. 4. Applicant’s personal details