Get the free Assistance animal request form - drc arizona
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Disability Resource Center 1224 E. Lowell Street, P.O. Box 210095, Tucson, AZ 85721 (520) 6213268, http://drc.arizona.eduAssistance Animal Request Medical Provider Form Student or Employee Name:Date
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How to fill out assistance animal request form
How to fill out assistance animal request form
01
Obtain the assistance animal request form from the appropriate organization or agency.
02
Fill in your personal information including name, address, contact information, and any relevant medical or mental health conditions.
03
Provide details about the type of assistance animal you are requesting and the specific tasks or services the animal will provide.
04
Include any supporting documentation from your healthcare provider or therapist, if required.
05
Submit the completed form to the designated office or individual for review and approval.
Who needs assistance animal request form?
01
Individuals who require the assistance of an animal for emotional support or to help with a disability or medical condition.
02
People who are seeking accommodation for their assistance animal in housing or other settings.
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What is assistance animal request form?
Assistance animal request form is a form used to request accommodation for an assistance animal in housing.
Who is required to file assistance animal request form?
Individuals who require assistance animals in housing are required to file the assistance animal request form.
How to fill out assistance animal request form?
To fill out the assistance animal request form, individuals need to provide information about the assistance animal, their disability, and the need for accommodation.
What is the purpose of assistance animal request form?
The purpose of the assistance animal request form is to request accommodation for an assistance animal in housing to meet the needs of individuals with disabilities.
What information must be reported on assistance animal request form?
The assistance animal request form typically requires information about the assistance animal, the individual's disability, and the need for accommodation.
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