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Get the free Emotional Support Animal Request Form. CPP DRC ESA Form

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Disability Resource Center Location: 3801 W. Temple Ave. Pomona, CA 91768 Building 9, Room 103Emotional Support Animal Request Form Student Information be completed by student prior to sending to
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An emotional support animal request is a formal application submitted by an individual seeking to have an animal recognized as their emotional support animal, which provides therapeutic benefits for mental health.
Individuals who wish to have their pet recognized as an emotional support animal, specifically those with diagnosed mental health conditions that benefit from the support of an animal, are required to file this request.
To fill out an emotional support animal request, applicants typically need to provide their personal information, details about their mental health condition, and possibly a letter from a licensed mental health professional supporting the request.
The purpose of the emotional support animal request is to formally recognize an animal as providing necessary support to an individual for mental health issues, which may allow for certain legal protections related to housing or travel.
The request must include the applicant's personal information, a description of the emotional or psychological condition, the type of animal, and documentation from a licensed mental health professional indicating the need for the animal.
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