Title Page
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Trading as / Location
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Conducted on
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Officer
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Address
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Premises telephone number
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Mobile phone number
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Email address
Premises
Premises
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Proprietor
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Interviewed
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Manager
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Interviewed
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Number of Staff
- 0-10
- 10-20
- 20+
Model Licence Conditions
Paperwork
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Licence on display
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Adequate insurance
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Register of animals
General conditions
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Accommodation adequate
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Adequate exercise facilities
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Stocking density controlled
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Health / Disease / Acclimatisation
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Adequate food and drinks
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Adequate food storage
Model Licence Conditions - cont
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Are staff adequately trained
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Observations carried out
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Adequate waste disposal
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Is the premises clean
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Adequate transport to premises
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Sale of animals
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Dangerous Wild Animals
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Isolated facilities
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Adequate fire precautions
Animals
Animals on site
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Sch B Dogs
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Sch C Cats
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Sch D Rabbits
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Sch E Other small mammals
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Sch F Ferrets
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Sch G Birds
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Sch H Reptiles and Amphibians
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Sch I Fish
Animal Welfare Act 2006
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Sale of livestock age restriction
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Suitable environments available
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Suitable diet
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Normal behaviour patterns
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Housing with / apart as necessary
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Animals protected from pain / suffering / injury / disease
Additional comments
Comments
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Extra photographs
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Licence to be issued