Application for a licence to operate an animal boarding establishment

Application for a licence to operate an animal boarding establishment

The Animal Welfare (Licensing of Activities Involving Animals) Regulations 2018
Please complete all the questions in the form.
If you have nothing to record, please state "Not applicable" or "None"
Application Category:*
Type of Application:*
Existing Licence Number:*

Animals to be accommodated:*

	Yes/No	Maximum Number
Cats
Dogs

Accomodation and Facilities
Details of the quarters used to accommodate animals, including number, size and type of construction:*
Exercise facilities and arrangements:*
Heating arrangements:*
Method of ventilation of premises:*
Lighting arrangements (natural & artificial):*
Water supply: *
Facilities for food storage & preparation:*
Arrangements for disposal of excreta, bedding and other waste material:*
Isolation facilities for the control of infectious diseases:*
Fire precautions/equipment and arrangements in the case of fire:*
Do you keep and maintain a registerof animals?*
How do you propose to minimise disturbance from noise?*

Has the applicant, or any person who will have control or management of the establishment, ever been disqualified from:*

	Yes/No
Keeping a pet shop?
Keeping an animal boarding establishment?
Keeping a riding establishment?
Having custody of animals?
Has the applicant, or any person who will have control or management of the establishment, been convicted of any offences under the Animal Welfare Act 2006?
Has the applicant, or any person who will have control or management of the establishment, ever had a licence refused, revoked or cancelled?

If you answered 'Yes' to any of the above questions please provide details here:*
Additional information which is required or maybe relevant to the application:

Declaration
I declare that the information given in this application is to my best knowledge and belief, correct, and understand that a false declaration could result in the licence applied for being revoked. I confirm that I have read and understood Surrey Heath Borough Council's Privacy Notice*

Please tick to confirm
Date*

MonthDayYear
Once we have received your completed application, our Environmental Services Team will be in contact with you to arrange an inspection and to take payment.
Privacy Statement

Details of Surrey Heath Borough Council’s Privacy Notice can be found here.
Should be Empty:

Animals to be accommodated