Get the free Service Animal Request Form - Liberty University
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Form B: Animal Requests: Health Care Professional Forename: Address: Telephone: Email: I, intend to request that permits me to keep an assistance animal as reasonable accommodation for my disability.
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How to fill out service animal request form
How to fill out service animal request form
01
Obtain a service animal request form from the relevant authority or organization.
02
Read the instructions on the form carefully to ensure you provide all the necessary information.
03
Start by filling out your personal details such as name, address, and contact information.
04
Provide information about the type of disability or medical condition that requires the use of a service animal.
05
Include details about the specific tasks or services the service animal is trained to perform to assist with your disability.
06
Fill in any additional information or comments that may be relevant to your request.
07
Sign and date the form to certify the accuracy of the information provided.
08
Submit the completed form to the designated authority or organization as instructed.
09
Keep a copy of the form for your records.
Who needs service animal request form?
01
Anyone who requires the assistance of a service animal due to a disability or medical condition may need to fill out a service animal request form. This can include individuals with physical disabilities, visual impairments, hearing impairments, mental health conditions, or any other condition that requires the use of a trained service animal for assistance.
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