Emotional Support Animal Housing Accommodation Request Form 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your personal information in the designated fields, including your name, Campus ID, and email address.
3. Provide details about your Emotional Support Animal (ESA), such as its type/breed, age, and name.
4. In section A, clearly state your DSM-V diagnosis that necessitates an ESA. Be specific to ensure clarity.
5. Answer questions B through F regarding your mental health history and how it affects you. This includes medication usage and factors that impact your condition.
6. If applicable, explain any changes in circumstances if you are a returning student requesting new accommodations.
7. Sign the form at the bottom to confirm the accuracy of the information provided and consent for sharing with your mental health provider.
8. Ensure that your mental health provider completes page 2 of the form with their details and signature before submission.

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