Greyhound Retirement Preparation Scheme (GRPS) – Application Form Greyhound Retirement Preparation Scheme (GRPS) – Application Form Applicant details Name * Licence number * Address * Email * Phone * Greyhound details Greyhound race name * Kennel name * Earbrand * Microchip number * Whelping date Sex Colour Claim amount Refer to the Quick Reference Guide for maximum claimable amounts. Desexing Costs (incl. veterinary consultation) Abdominal Cryptorchid / Rig Pre-anaesthesia blood test Vaccination C5 or C7 Dental prophylaxis and treatment costs (combined) Total claim amount Retirement details Date the 28-Day Wind-Down Form was lodged with ORI Lodgement details Today's date * Application checklist I have attached all supporting documentation (which clearly identifies the Eligible Greyhound): Desexing Certificate * Drop a file here or click to upload Choose File Maximum upload size: 8.39MB Vaccination Certificate (if applicable) Drop a file here or click to upload Choose File Maximum upload size: 8.39MB Dental Cetificate * Drop a file here or click to upload Choose File Maximum upload size: 8.39MB Clinical notes from the veterinarian detailing all treatment and procedures performed Drop a file here or click to upload Choose File Maximum upload size: 8.39MB Itemised tax invoice (in the name of the Applicant) * Drop a file here or click to upload Choose File Maximum upload size: 8.39MB Receipt of payment Drop a file here or click to upload Choose File Maximum upload size: 8.39MB Applications without the above supporting information will not be processed. Declaration * I have read the Greyhound Retirement Preparation Scheme policy and agree to be bound by it. I declare that the information provided on this Application Form is true and correct. Privacy Statement By submitting this Application Form, you understand and agree that Tasracing may use and disclose the personal information provided by you for the purpose of processing your application in accordance with the Greyhound Retirement Preparation Scheme. The personal information collected in this form may also be used or disclosed by Tasracing in accordance with Tasracing’s Privacy Policy If you are human, leave this field blank. Submit Δ
