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Run: Service Animal and Emotional Support Animal Accommodation Log

Log service animal and emotional support animal accommodation requests, the ADA-allowed inquiries, housing documentation reviewed, and the final decision in ...

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Log Identification

Log Date (required)

Request Type (required)

Request Received By (required)

Staff member documenting the request.

Resident or Applicant Name (required)

Collect only what is needed for the accommodation record.

Unit or Program

Optional internal reference for the housing location or program.

ADA Allowable Inquiries

Is the animal required because of a disability? (required)

First allowable ADA inquiry.

What work or task has the animal been trained to perform? (required)

Second allowable ADA inquiry. Do not request training certificates or medical details.

Observation Notes

Document only observable behavior relevant to the accommodation process.

Housing Documentation Review

Documentation Reviewed (required)

Documentation Notes

Summarize only what was reviewed and whether it was sufficient. Do not include diagnosis details.

Additional Information Requested? (required)

Additional Information Needed

Specify only the minimum necessary information needed to complete the review.

Accommodation Decision

Accommodation Decision (required)

Accommodation Provided (required)

Describe the accommodation or next step provided to the resident or applicant.

Effective Date

Decision Basis

Briefly note the policy or process basis for the decision.

Follow-Up and Audit Trail

Follow-Up Required? (required)

Follow-Up Actions

List the next steps, responsible staff, and target date.

Staff Attestation (required)

Staff member confirms the record is accurate and complete.

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Email (required)

Your name (optional)

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