UMD Emotional Support Animal Housing Form
This document serves as a formal request for a housing accommodation for an emotional support animal at the University of Maryland. It ensures proper documentation of the student's disability for accommodation purposes. The Accessibility and Disability Service collaborates with residents for necessary accommodations.
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How do I fill this out?
Filling out this form is straightforward and important for your ESA request. Gather necessary documentation that verifies your disability from a qualified professional. Make sure to complete all sections of the form accurately and submit it as part of your application.

How to fill out the UMD Emotional Support Animal Housing Form?
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1. Obtain verification of your disability from a qualified third-party provider.
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2. Complete the ADS Registration Application online.
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3. Fill out the ESA Housing Accommodation Request Form.
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4. Upload the completed form with your registration application.
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5. Await confirmation and guidelines from ADS and housing staff.
Who needs the UMD Emotional Support Animal Housing Form?
1
Students enrolled at the University of Maryland seeking emotional support.
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Students who have a diagnosed mental health condition requiring support animals.
3
Healthcare providers needing to submit documentation for their patients.
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University staff involved in student housing accommodations.
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Parents or guardians helping their children with housing requests.
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Editing this PDF is simple on PrintFriendly. Users can modify text, add their specific details, and ensure all information is accurate before submission. This feature helps streamline the application process and makes it easier to meet requirements.
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What are the instructions for submitting this form?
Submit your completed ESA Housing Accommodation form via the ADS Registration Application online. You can also email it to adsfrontdesk@umd.edu or fax it to (301) 314-7682. If required, visit the Accessibility and Disability Service office at 4281 Chapel Lane, College Park, MD 20742-811 for in-person assistance.
What are the important dates for this form in 2024 and 2025?
Important dates for the ESA Housing Accommodation request will vary by academic year. It's advisable to submit your request as early as possible for timely processing. Check the University's Accessibility and Disability Service page for the most current deadlines.

What is the purpose of this form?
The purpose of this form is to provide students with a way to request housing accommodations for emotional support animals. It ensures that students with disabilities have equal access to university housing facilities. By submitting this form, students can formally document their need for an ESA as part of their living arrangements.

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

- 1. Student Name: The full name of the student requesting the ESA.
- 2. Student Date of Birth: The birth date (MM/DD/YY) of the student.
- 3. Student UID Number: The unique identification number assigned to the student.
- 4. Student Phone Number: A phone number where the student can be reached.
- 5. Student Email: The student's email address for communication.
What happens if I fail to submit this form?
Failure to submit this form may result in the inability to have an emotional support animal in residence. Proper documentation is essential to ensure that accommodations can be made effectively. Without this form, students risk missing out on necessary support.
- Lack of Accommodations: Students may not receive the required housing accommodations for their emotional support needs.
- Delayed Housing Arrangements: Failing to submit on time could result in delays with housing assignments.
- Missing Out on Support: Without an official request, students cannot formally secure their ESA's presence in their housing.
How do I know when to use this form?

- 1. Requesting ESA Accommodation: Students requiring emotional support can use this form to ensure their ESA is permitted.
- 2. Documenting Disability Needs: This form allows students to document and communicate their disability-related needs to university staff.
- 3. Accessing Housing Resources: Students need this form to access available housing resources tailored to their needs.
Frequently Asked Questions
Who is eligible to request an ESA?
Students with documented disabilities that require emotional support animals are eligible to submit this request.
How do I submit my ESA request?
You can submit your completed form online through the ADS Registration Application.
What documentation do I need to provide?
You need to provide verification of your disability from a qualified third-party mental health professional.
Can I modify the form after filling it out?
Yes, you can edit the PDF directly on PrintFriendly before downloading and submitting it.
What is the difference between an ESA and a service animal?
An ESA provides emotional support, while service animals are trained to perform specific tasks for individuals with disabilities.
How will my information be used?
Your submitted information will be reviewed to determine your eligibility for housing accommodations.
Is there a fee for submitting this form?
There are no fees associated with submitting your ESA request.
What happens once I submit my request?
You will receive confirmation and may need to meet with housing staff to discuss your request.
How long does it take to process my request?
Processing times can vary; you will be notified of any updates regarding your submission.
Can I share this form with others?
Yes, you can share the link to this form for ease of access.
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