Get Pepperdine University Disability Verification Form For Emotional Support Animal (esa) 2020-2025

Filling out the Pepperdine University Disability Verification Form for an emotional support animal is an essential step for students seeking necessary accommodations. This guide will provide you with clear, step-by-step instructions on how to accurately complete the form online to ensure your request is processed efficiently.

Follow the steps to fill out the form accurately and completely.

1. Click ‘Get Form’ button to access the Disability Verification Form for ESA and open it in your chosen editor.
2. Enter your personal information in the designated fields. This includes your full name, CWID (Campus Wide Identification Number), and birthdate.
3. In the section requesting information from your medical provider, your provider should fill out their name, title, phone number, and address to verify you as a patient.
4. Ensure your provider offers detailed responses to the questions specifying your disability and how it affects your daily life. They should clearly state how an emotional support animal is necessary for your successful housing experience.
5. Your provider should also provide their perspective on the proposed ESA, including whether it is prescribed, its potential benefits, symptoms it may alleviate, and any previous interactions you have had with this type of support.
6. Complete the section regarding the response of your provider on the importance of the ESA for your well-being and their assessment of your capacity to care for the animal.
7. Fill in the details of the proposed ESA, including its name, species, breed, gender, age, and whether it has been spayed or neutered.
8. Make sure the final section includes your provider's signature, license number, and the date. This confirms the accuracy of the provided information.
9. Once all fields are completed, save your changes. You can then download, print, or share the form as required.

Complete your Disability Verification Form for ESA online today to ensure your accommodations are handled promptly and effectively.