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How do I fill this out?

To fill out the Emotional Support Animal Request Form, start by providing your personal information. Next, ensure you have your treating provider complete their section with relevant details. Finally, review the entire form for accuracy before submission.

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How to fill out the Emotional Support Animal Request Form?

  1. 1

    Complete the student personal information section.

  2. 2

    Have your treating provider fill out their assessment section.

  3. 3

    Sign the form to authorize release of medical information.

  4. 4

    Double-check all information for accuracy.

  5. 5

    Submit the completed form to SDAC.

Who needs the Emotional Support Animal Request Form?

  1. 1

    Students with documented disabilities seeking support.

  2. 2

    Individuals who have a mental health condition requiring an emotional support animal.

  3. 3

    Students living in campus housing who need assistance.

  4. 4

    Those looking for a solution to alleviate stress and anxiety.

  5. 5

    Anyone wanting to ensure they are compliant with campus policies regarding emotional support animals.

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  1. 1

    Open the Emotional Support Animal Request Form on PrintFriendly.

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    Click on the 'Edit' button to enter editing mode.

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    Make necessary changes to the text or fields.

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    Review your changes to ensure correctness.

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What are the instructions for submitting this form?

To submit the Emotional Support Animal Request Form, please ensure that all sections are completed accurately. The form can be mailed to the Student Disability & Accessibility Center at 100 Campus Center, Seaside, California 93955-8001. Alternatively, you may fax the completed document to 831-582-4024 or email it to sdac@csumb.edu for prompt processing.

What are the important dates for this form in 2024 and 2025?

Important dates to keep in mind include application deadlines for support services at the beginning of each semester. Ensure you submit your request well in advance to allow for processing time. The due dates may vary, so check with SDAC for the most current information.

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What is the purpose of this form?

The purpose of this form is to provide a structured process for students requesting an emotional support animal. It ensures that all necessary information regarding the student's disability is collected and verified. This aids the Student Disability & Accessibility Center in offering appropriate services to support students' mental health needs.

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Tell me about this form and its components and fields line-by-line.

The Emotional Support Animal Request Form contains several fields that must be completed by both the student and the treating provider.
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  • 1. Student Name: The full name of the student requesting the emotional support animal.
  • 2. Phone: The contact number for the student.
  • 3. Address: The student's residential address.
  • 4. Email: The email address for the student.
  • 5. Student ID#: The identification number assigned to the student.
  • 6. Treating Provider Details: Information about the treating provider, including their assessment and relationship to the student.

What happens if I fail to submit this form?

If the form is not submitted correctly, there could be delays in processing your request for an emotional support animal. Missing information may lead to a denial of services, causing students to lose valuable support. It is crucial to follow instructions carefully to avoid these issues.

  • Incomplete Information: Submitting forms without filling all necessary fields will lead to rejection.
  • Late Submission: If submitted past deadlines, the request may not be processed in time.
  • Lack of Provider Verification: Failure to obtain a provider's input may result in denial of the request.

How do I know when to use this form?

This form should be used when students with documented disabilities wish to request an emotional support animal from the Student Disability & Accessibility Center. It is applicable when the animal is necessary to alleviate specific functional limitations related to a disability. Whenever a student feels the need for such support, they should complete and submit this form.
fields
  • 1. Requesting Support Animal Approval: Use this form to officially request approval for an emotional support animal.
  • 2. Reassessing Need for Animal: When there is a change in condition, this form can be refiled to reassess needs.
  • 3. Documenting Disability: This form helps in the process of documenting the necessity related to specific disabilities.

Frequently Asked Questions

How can I edit the Emotional Support Animal Request Form?

You can edit the form by opening it on PrintFriendly and clicking the 'Edit' button to make changes directly.

What information do I need to fill out this form?

You will need personal information, your disability disclosure, and input from your treating provider.

Is it necessary to get my provider's input?

Yes, the treating provider must complete their section to validate the need for an emotional support animal.

Can I download the filled form?

Yes, after editing, you can download the completed form as a PDF.

What if I make a mistake while filling out the form?

You can easily correct any mistakes while in editing mode on PrintFriendly.

How do I ensure my information is accurate?

Double-check all fields before submitting the form to ensure all information is correct.

What happens after I submit the form?

Your submission will be evaluated by the Student Disability & Accessibility Center for approval.

Can I share the PDF with others?

Yes, PrintFriendly allows you to share the PDF via email or by providing a link.

Is there a way to sign the PDF electronically?

Absolutely, you can easily add your signature electronically using the signing feature.

How do I get help if needed?

You can contact SDAC at the provided phone number if you have questions about filling out the form.

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