Emotional Support Animal Request Form

Please submit this form to request the accommodation of an Emotional Support Animal in Campus Housing.

When will you first need this accommodation?

If you intend to adopt an animal to serve as your Emotional Support Animal (ESA), and therefore do not have the details about the animal which are requested below, please leave those items blank.  The Disability Resource Center will work with you after your request is reviewed to discuss the specific animal you intend to adopt if it is determined that an ESA is an appropriate accommodation for you.



Disability Resource Center

119 Stevenson Hall

University of Louisville

Louisville, Kentucky 40292

Office Hours

M-F 9:00am to 5:00 pm


tel (502) 852-6938

fax (502) 852-0924

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