Assistance Animal Student Request Form

Assistance Animal Health Professional Acknowledgement

An Assistance Animal  accommodation request cannot be reviewed without the Assistance Animal Health Professional Form. It is the student’s responsibility to provide this form to the appropriate professional for completion and to include it with the request.

Assistance Animal Health Professional Acknowledgement

If approved, when do you want the accommodation to begin? Students seeking an accommodation beginning FALL 2022 should NOT complete this form until May 2nd or later, when Fall 2022 is an option on the form.
Assistance Animal Health Professional Form Upload

This field is required

Please upload your completed Housing Accommodation Assistance Animal Health Professional Form.

Additional uploads:

This field is required

Upload any additional documentation, assessments, etc. in support of your housing accommodation request.

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