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ESA Letter Simple Process

  • 01

    Basic Information

  • 02

    Personal Survey

  • 03

    Symptoms

  • 04

    Results

Basic Information


To assess your qualifications for a legal ESA Letter, we need some Basic Information:

What is your name?

Phone Number

What is your date of birth?

Are you a current or former member of the armed forces?

Yes     No

What is your Email Address?

Which state are you currently a resident of?

What is your address?

What is your gender?

Male     Female

Type of pet?

Your pet’s breed?

Your pet’s weight? (lbs)

Your pet’s name?

Is your pet well behaved?

  • Always
  • Sometimes
  • Rarely
  • Never