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Get the free ESA Request Form - Student Disability Services - sds cornell

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Student Disability Services 110 Ho Plaza, level 5 Ithaca, New York 14853 t. 607.254.4545 f. 607.255.1562 SDS. Cornell.educational Support Animal Agreement The student handler (student) identified
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How to fill out esa request form

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How to fill out esa request form

01
Obtain the ESA request form from an appropriate source.
02
Fill out your personal information including name, address, and contact details.
03
Provide details about your Emotional Support Animal (ESA) such as type of animal and reason for needing one.
04
Include information about your licensed mental health professional who has prescribed an ESA for you.
05
Sign and date the form to certify the information provided is true and accurate.

Who needs esa request form?

01
Individuals who require an Emotional Support Animal (ESA) for assistance with a mental health condition.
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The ESA request form is a document used to request accommodations for disabilities under the Employment Standards Act (ESA).
Any employee who requires accommodations for disabilities in the workplace is required to file the ESA request form.
The ESA request form can be filled out by providing personal information, details of the disability, requested accommodations, and any supporting documentation.
The purpose of the ESA request form is to ensure that employees with disabilities receive the necessary accommodations to perform their job duties effectively.
The ESA request form must include personal information, details of the disability, requested accommodations, and any supporting documentation.
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