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Service or Assistance Animal Agreement First Name: Last Name: Campus ID: Contact Phone: Emergency Contact: Emergency Contact: (Must provide two emergency contacts) Veterinarian Name & Contact: Veterinarian
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To fill out the service or assistance animal form, follow these steps:
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Obtain the service or assistance animal form from the relevant authority or organization.
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Read the instructions and guidelines provided with the form carefully.
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Begin by providing your personal information, including your name, contact details, and any identification numbers required.
05
Provide detailed information about the service or assistance animal, such as its breed, age, and any specific training it has received.
06
Describe the specific tasks or functions the animal is trained to perform in order to assist you.
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Attach any supporting documentation that may be required, such as training certificates or medical records.
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Review the completed form to ensure all necessary information has been provided and all sections have been appropriately filled out.
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Sign and date the form.
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Submit the form as instructed, either by mail, email, or in person.
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Keep a copy of the completed form for your records.

Who needs service or assistance animal?

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Service or assistance animals are typically needed by individuals who have disabilities or medical conditions that require additional support.
02
Some examples of those who may need service or assistance animals include:
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- Individuals with visual impairments or blindness who require guide dogs to safely navigate their surroundings.
04
- People with mobility limitations who rely on service animals to assist with tasks such as opening doors, retrieving objects, or providing stability.
05
- Individuals with psychiatric disabilities who benefit from the emotional support provided by an assistance animal.
06
- Children or adults with autism who find comfort and assistance through the presence of a specially trained therapy animal.
07
- Individuals with conditions such as epilepsy or diabetes who may benefit from a service animal trained to detect and respond to specific medical needs.
08
- Veterans or individuals with post-traumatic stress disorder (PTSD) who find relief and support through a service dog.
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A service or assistance animal is an animal that is trained to perform tasks or provide assistance to individuals with disabilities, helping them to navigate daily life.
Individuals with disabilities who utilize service or assistance animals are typically required to file documentation regarding their animal's status.
To fill out a service or assistance animal application, provide necessary details about the animal, including its training, role in assisting, and any relevant medical documentation supporting the need for the animal.
The purpose of a service or assistance animal is to aid individuals with disabilities in performing daily activities, enhancing their independence and well-being.
Information that must be reported includes the animal's type, training details, the role it plays in assisting the individual, and any medical documentation confirming the individual's disability.
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