Emotional Support Animal Lease Add-On Request
Tenant Name(s):
Unit/Apartment Number:
Property Address:
Animal Information
Type of Animal:
Animal's Name:
Breed (if applicable):
Weight:
Age:
City/County License Number (if required):
Support Animal Documentation
Attach supporting documentation from a licensed healthcare professional:
Agreement
By submitting this request, I acknowledge that I am seeking reasonable accommodation for my documented need for an Emotional Support Animal and agree to comply with all requirements under the lease and applicable law.
Tenant Signature:
Date: