Assistance Animal Addendum
Property Address
Resident(s) Name(s)
Landlord/Management Company
Assistance Animal Information
Type of Animal
Breed
Age
Weight
Name
Verification of Need for Assistance Animal
Verifier Name/Title
Verifier Organization
Verifier Contact Information
Additional Details
Resident Agreement
Resident understands the assistance animal is not a pet.
Resident is responsible for the care, supervision, and behavior of the animal.
Resident agrees to comply with all applicable local ordinances and regulations.
Resident will cover any damages caused by the animal.
Date
Resident Signature
Date
Landlord/Agent Signature