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SERVICE ANIMAL DOCUMENTATION PACK


IMPORTANT LEGAL NOTICE

This documentation pack is provided for informational purposes only. The Americans with Disabilities Act (ADA) does NOT require service animals to be certified, registered, or documented. No documentation, identification cards, or certifications are legally required for service animals under the ADA.

However, this documentation may be useful for:
- Air travel (DOT requires specific forms)
- Housing accommodations under the Fair Housing Act
- Personal records
- Training documentation
- Voluntary identification

Businesses and public entities may only ask two questions:
1. Is the dog a service animal required because of a disability?
2. What work or task has the dog been trained to perform?

They CANNOT require documentation, proof of certification, or demonstration of tasks.


DOCUMENT 1: HANDLER'S SERVICE ANIMAL ATTESTATION


SERVICE ANIMAL HANDLER ATTESTATION FORM

This form documents the handler's attestation regarding their service animal. It is NOT required by law but may be used for personal records or specific situations like air travel.


SECTION A: HANDLER INFORMATION

Field Information
Full Legal Name [HANDLER FULL LEGAL NAME]
Address [ADDRESS]
City, State, ZIP [CITY, STATE, ZIP]
Phone [PHONE]
Email [EMAIL]
Date of Birth [DOB]

SECTION B: SERVICE ANIMAL INFORMATION

Field Information
Animal Name [ANIMAL NAME]
Species ☐ Dog ☐ Miniature Horse
Breed [BREED]
Color/Markings [DESCRIPTION]
Sex ☐ Male ☐ Female
Date of Birth/Age [DOB OR AGE]
Weight [WEIGHT]
Microchip Number [NUMBER OR "NONE"]

Note: Under the ADA, only dogs (and in some cases, miniature horses) qualify as service animals.


SECTION C: DISABILITY-RELATED WORK OR TASKS

Attestation:

I, [HANDLER NAME], attest that I have a disability as defined by the ADA and that my service animal, [ANIMAL NAME], has been individually trained to perform work or tasks directly related to my disability.

The specific work or tasks my service animal has been trained to perform include:

☐ Guiding individuals who are blind or have low vision
☐ Alerting individuals who are deaf or hard of hearing
☐ Pulling a wheelchair
☐ Alerting and protecting during a seizure
☐ Reminding to take prescribed medications
☐ Calming during anxiety or panic attacks (through trained tasks)
☐ Deep pressure therapy during psychiatric episodes
☐ Retrieving items
☐ Providing balance and stability assistance
☐ Alerting to allergens
☐ Alerting to blood sugar changes (diabetic alert)
☐ Alerting to cardiac episodes
☐ Other trained task(s): [DESCRIBE SPECIFIC TRAINED TASKS]

Description of trained tasks:
[PROVIDE DETAILED DESCRIPTION OF THE SPECIFIC WORK OR TASKS THE ANIMAL PERFORMS]


SECTION D: TRAINING INFORMATION

Training Status:

☐ Professionally trained by organization: [ORGANIZATION NAME]
☐ Professionally trained by individual trainer: [TRAINER NAME]
☐ Owner-trained
☐ Combination of professional and owner training

Training Completion Date: [DATE OR "ONGOING"]


SECTION E: HANDLER ATTESTATION

I, the undersigned, hereby attest and affirm that:

☐ I have a disability as defined under the Americans with Disabilities Act (ADA)

☐ My service animal is required because of my disability

☐ My service animal has been individually trained to perform specific work or tasks directly related to my disability

☐ The work or tasks performed by my service animal are not solely providing emotional support, comfort, or companionship

☐ I understand the difference between a service animal and an emotional support animal

☐ My service animal is under my control at all times

☐ My service animal is housebroken

☐ My service animal has current vaccinations as required by local law

☐ I take full responsibility for the behavior and actions of my service animal

☐ I understand that misrepresenting an animal as a service animal may be illegal in my jurisdiction

I declare under penalty of perjury that the foregoing is true and correct.


HANDLER SIGNATURE:

Signature: _________________________________

Printed Name: _________________________________

Date: _________________________________


DOCUMENT 2: HEALTHCARE PROVIDER LETTER TEMPLATE


LICENSED HEALTHCARE PROVIDER LETTER

FOR HOUSING/FAIR HOUSING ACT ACCOMMODATIONS

Note: This type of letter may be required for housing accommodations under the Fair Housing Act but is NOT required for public access under the ADA. Businesses cannot require this letter.


[HEALTHCARE PROVIDER LETTERHEAD]

[DATE]

To Whom It May Concern:

I, [HEALTHCARE PROVIDER NAME], am a licensed [HEALTHCARE PROFESSION - e.g., physician, psychologist, psychiatrist, licensed clinical social worker, nurse practitioner] in the state of [STATE]. My license number is [LICENSE NUMBER].

I am writing to confirm that [PATIENT NAME], date of birth [DOB], is my patient and is under my professional care.

[PATIENT NAME] has a disability as defined by the Fair Housing Act and/or Americans with Disabilities Act. The nature of the disability [☐ is / ☐ is not] readily apparent.

Based on my professional assessment:

☐ [PATIENT NAME] requires a service animal that has been trained to perform specific work or tasks directly related to their disability.

☐ [PATIENT NAME] requires an emotional support animal as part of their treatment plan for their disability.

For Service Animals:
The service animal performs the following trained task(s) that mitigate the effects of [PATIENT NAME]'s disability: [GENERAL DESCRIPTION OF TASKS - do not disclose specific diagnosis unless patient consents]

For Emotional Support Animals:
The emotional support animal provides disability-related therapeutic benefit to [PATIENT NAME] by [GENERAL DESCRIPTION OF BENEFIT].

This accommodation is necessary to afford [PATIENT NAME] an equal opportunity to use and enjoy their dwelling.

I am available to verify this information if needed. Please contact me at [PHONE] or [EMAIL].

Sincerely,

_________________________________
[HEALTHCARE PROVIDER NAME]
[CREDENTIALS]
[LICENSE NUMBER]
[PRACTICE NAME]
[ADDRESS]
[PHONE]
[EMAIL]


PRIVACY NOTICE: This letter does not disclose the patient's specific diagnosis or medical condition, as such information is protected by HIPAA and is not required for reasonable accommodation requests.


DOCUMENT 3: SERVICE ANIMAL TRAINING LOG


SERVICE ANIMAL TRAINING DOCUMENTATION

This training log is for personal records and is NOT required by the ADA.


ANIMAL INFORMATION

Field Information
Animal Name [ANIMAL NAME]
Breed [BREED]
Date of Birth [DOB]
Training Start Date [DATE]
Handler Name [HANDLER NAME]

TRAINING PROVIDER INFORMATION

Field Information
Trainer/Organization [NAME]
Certification/Credentials [CREDENTIALS]
Phone [PHONE]
Email [EMAIL]
Training Method [METHOD DESCRIPTION]

TASK TRAINING RECORD

Task Trained Description Start Date Proficiency Date Notes
[TASK] [DESCRIPTION] [DATE] [DATE] [NOTES]
[TASK] [DESCRIPTION] [DATE] [DATE] [NOTES]
[TASK] [DESCRIPTION] [DATE] [DATE] [NOTES]
[TASK] [DESCRIPTION] [DATE] [DATE] [NOTES]
[TASK] [DESCRIPTION] [DATE] [DATE] [NOTES]

PUBLIC ACCESS TRAINING RECORD

Skill Proficiency Level Date Achieved Notes
Heeling/loose leash walking ☐ Beginner ☐ Intermediate ☐ Advanced [DATE]
Sit on command ☐ Beginner ☐ Intermediate ☐ Advanced [DATE]
Down on command ☐ Beginner ☐ Intermediate ☐ Advanced [DATE]
Stay in position ☐ Beginner ☐ Intermediate ☐ Advanced [DATE]
Come when called ☐ Beginner ☐ Intermediate ☐ Advanced [DATE]
Ignoring distractions ☐ Beginner ☐ Intermediate ☐ Advanced [DATE]
Ignoring food on ground ☐ Beginner ☐ Intermediate ☐ Advanced [DATE]
Calm around other animals ☐ Beginner ☐ Intermediate ☐ Advanced [DATE]
Calm around people ☐ Beginner ☐ Intermediate ☐ Advanced [DATE]
Appropriate elimination habits ☐ Beginner ☐ Intermediate ☐ Advanced [DATE]
Settling quietly in public ☐ Beginner ☐ Intermediate ☐ Advanced [DATE]
Appropriate behavior in various environments ☐ Beginner ☐ Intermediate ☐ Advanced [DATE]

PUBLIC ACCESS TEST LOCATIONS

Date Location Type Location Pass/Needs Work Notes
[DATE] [e.g., Restaurant] [LOCATION] ☐ Pass ☐ Needs Work [NOTES]
[DATE] [e.g., Store] [LOCATION] ☐ Pass ☐ Needs Work [NOTES]
[DATE] [e.g., Medical facility] [LOCATION] ☐ Pass ☐ Needs Work [NOTES]

TRAINER CERTIFICATION (OPTIONAL)

I, [TRAINER NAME], certify that I have trained [ANIMAL NAME] in the tasks and skills documented above.

Trainer Signature: _________________________________

Date: _________________________________


DOCUMENT 4: DOT SERVICE ANIMAL AIR TRANSPORTATION FORM


U.S. DEPARTMENT OF TRANSPORTATION SERVICE ANIMAL AIR TRANSPORTATION FORM

This form IS required for air travel with a service animal under Department of Transportation regulations.


PART 1: SERVICE ANIMAL HANDLER'S ATTESTATION

Instructions: This form is to be completed by the service animal handler (or a person with authority to act on behalf of the handler) and submitted to the airline prior to travel. A separate form is required for each service animal.


SECTION 1: HANDLER INFORMATION

Field Information
Handler Name [HANDLER FULL LEGAL NAME]
Address [ADDRESS]
Phone [PHONE]
Email [EMAIL]

SECTION 2: FLIGHT INFORMATION

Field Information
Airline [AIRLINE NAME]
Flight Number(s) [FLIGHT NUMBER(S)]
Departure City [CITY]
Destination City [CITY]
Travel Date(s) [DATE(S)]

SECTION 3: SERVICE ANIMAL INFORMATION

Field Information
Animal Type ☐ Dog
Breed [BREED]
Weight [WEIGHT]
Animal Name [NAME]
Date of Birth [DOB]

SECTION 4: ATTESTATIONS

I attest to the following (check all that apply):

Status as Service Animal: The animal accompanying me is a service animal that is required to accompany me on the flight because of my disability.

Trained to Perform Tasks: My service animal has been individually trained to do work or perform a task for me that is directly related to my disability.

Trained Behavior: I attest that my service animal has been trained to behave properly in a public setting.

Health and Behavior: My service animal:
- Is in good health
- Will not engage in disruptive behavior
- Will not pose a direct threat to the health or safety of others
- Will relieve itself in a sanitary manner or can be relieved in a sanitary manner

Compliance: I will be responsible for my service animal's behavior and will comply with applicable regulations.


SECTION 5: HANDLER ACKNOWLEDGMENT

I understand that:

  • Federal regulations require me to ensure that my service animal is harnessed, leashed, or otherwise tethered at all times in the airport and on the aircraft unless the harness, leash, or tether would interfere with the service animal's safe, effective performance of work or tasks.

  • I may be charged for damage caused by my service animal.

  • Knowingly providing false information to an airline or the DOT may result in civil or criminal penalties.


SECTION 6: SIGNATURE

I certify that the information I have provided on this form is true and correct to the best of my knowledge.

Signature: _________________________________

Printed Name: _________________________________

Date: _________________________________


PART 2: SERVICE ANIMAL RELIEF ATTESTATION

(For flights 8 hours or longer)

☐ My service animal will not need to relieve itself on the flight, OR

☐ My service animal can relieve itself on the flight in a way that does not create a health or sanitation issue.

Method of relief:
[DESCRIBE HOW ANIMAL WILL RELIEVE ITSELF IN A SANITARY MANNER]

Signature: _________________________________

Date: _________________________________


DOCUMENT 5: ADA RIGHTS INFORMATION CARD


KNOW YOUR RIGHTS: SERVICE ANIMALS AND THE ADA

Wallet-Sized Reference Card


WHAT BUSINESSES CAN ASK:

  1. Is this a service animal required because of a disability?
  2. What work or task has the dog been trained to perform?

WHAT BUSINESSES CANNOT DO:

  • Require documentation or proof
  • Ask about your disability
  • Ask the dog to demonstrate the task
  • Charge extra fees for service animals
  • Isolate you from other patrons
  • Treat you less favorably

YOUR RESPONSIBILITIES:

  • Keep your service animal under control
  • Ensure your animal is housebroken
  • You are responsible for your animal's behavior

WHEN A BUSINESS MAY ASK YOU TO REMOVE YOUR SERVICE ANIMAL:

  • If the animal is out of control and you cannot control it
  • If the animal is not housebroken

They must still offer you service without the animal.

FEDERAL LAW REFERENCE:
Americans with Disabilities Act (ADA)
42 U.S.C. 12101 et seq.
28 CFR Part 35, 36

FOR COMPLAINTS:
U.S. Department of Justice
ADA Information Line: 1-800-514-0301 (voice)
1-833-610-1264 (TTY)
www.ada.gov


DOCUMENT 6: SERVICE ANIMAL EMERGENCY CARD


EMERGENCY INFORMATION CARD

(To be carried with service animal)


SERVICE ANIMAL INFORMATION

Field Information
Animal Name [ANIMAL NAME]
Breed [BREED]
Age [AGE]
Weight [WEIGHT]
Microchip # [NUMBER]

HANDLER INFORMATION

Field Information
Handler Name [NAME]
Disability/Medical Condition [CONDITION - optional]
Handler Phone [PHONE]

IN CASE OF EMERGENCY:

Contact Phone
Emergency Contact [NAME]: [PHONE]
Primary Veterinarian [NAME]: [PHONE]
Emergency Vet [CLINIC]: [PHONE]

MEDICAL INFORMATION:

Field Information
Vaccinations Current ☐ Yes
Medications [LIST OR "NONE"]
Allergies [LIST OR "NONE"]
Medical Conditions [LIST OR "NONE"]

IF FOUND WITHOUT HANDLER:

Please contact emergency contact above. This is a trained service animal. If handler is incapacitated, this animal may be able to assist or alert to medical conditions.


DOCUMENT 7: VACCINATION AND HEALTH RECORD


SERVICE ANIMAL HEALTH RECORD

Note: While not required for ADA public access, many localities require proof of rabies vaccination. This record is for practical purposes.


ANIMAL INFORMATION

Field Information
Animal Name [ANIMAL NAME]
Species [SPECIES]
Breed [BREED]
Date of Birth [DOB]
Sex [SEX]
Color [COLOR]
Microchip # [NUMBER]

VETERINARY INFORMATION

Field Information
Primary Veterinarian [NAME]
Clinic [CLINIC NAME]
Address [ADDRESS]
Phone [PHONE]

VACCINATION RECORD

Vaccine Date Given Next Due Veterinarian
Rabies [DATE] [DATE] [VET]
DHPP [DATE] [DATE] [VET]
Bordetella [DATE] [DATE] [VET]
Canine Influenza [DATE] [DATE] [VET]
Lyme [DATE] [DATE] [VET]
Other: [VACCINE] [DATE] [DATE] [VET]

LOCAL LICENSE

Jurisdiction License # Expiration
[CITY/COUNTY] [NUMBER] [DATE]

IMPORTANT REMINDERS

What IS a Service Animal Under the ADA:

  • A dog (or in some cases, miniature horse) that has been individually trained to perform specific work or tasks directly related to a person's disability

What is NOT a Service Animal Under the ADA:

  • Emotional support animals (ESAs)
  • Therapy animals
  • Comfort animals
  • Pets
  • Animals that only provide comfort by their presence
  • Animals that have not been trained to perform specific tasks

State Laws:

Some states have additional protections or requirements. Check your state's laws regarding:
- Service animal fraud penalties
- Service animal-in-training rights
- Broader definitions of service animals
- Additional protections beyond the ADA


This Service Animal Documentation Pack is provided for informational purposes only and does not constitute legal advice. For specific questions about service animal rights and responsibilities, consult with an attorney familiar with disability law or contact the ADA Information Line at 1-800-514-0301.


Sources:
- Americans with Disabilities Act (ADA)
- U.S. Department of Justice ADA Guidance
- U.S. Department of Transportation Service Animal Regulations
- Fair Housing Act


Last Updated: [DATE]

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SERVICE ANIMAL DOCUMENTATION

GENERAL TEMPLATE


Effective Date: [DATE]
Party A: [PARTY A NAME]
Address: [PARTY A ADDRESS]
Party B: [PARTY B NAME]
Address: [PARTY B ADDRESS]
Governing Law: [GOVERNING STATE]

This document is entered into by and between [PARTY A NAME] and [PARTY B NAME], effective as of the date set forth above, subject to the terms and conditions outlined herein and the laws of [GOVERNING STATE].
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