Microchip Change of Ownership Form
Transfer Details
- Date of transfer
- Reason for transfer
- Notes
Animal's Details
- Microchip number
- Registry the microchip is listed with
- Name
- DOB (age)
- Gender
- Species
- Breed
- Colour
- Markings
Previous Owner
- First name
- Last name
- Address
- Phone
I declare that I am the registered owner of the animal described above, or am authorised to act for the registered owner, and that I transfer ownership of this animal to the new owner named on this form. I authorise the microchip registry to update its records accordingly.
- Date signed
Previous owner signature
New Owner
- First name
- Last name
- Address
- Phone
I accept ownership of the animal described above and agree to have my details recorded with the microchip registry and to keep my contact details up to date.
- Date signed
New owner signature
Microchip Verification (Optional)
A veterinarian or clinic can complete this section after scanning the animal and confirming the microchip number above matches. This strengthens the transfer record for both parties.
- Verified by (name)
- Clinic / practice
- Date scanned and verified
Verifier signature
This form records the agreement between the parties. The microchip registry may also require its own transfer form, evidence or fee. Send or upload this form according to the registry's instructions, and confirm the registry record has actually changed.
