DO NOT USE THIS FORM if the animal is being requested as a reasonable accommodation for a disability. Use Form CA-062 – Assistive Animal Policy Addendum as the addendum after reviewing the Instructions for Form CA-210 – Assistive Animal Request and Documentation Packet.

This agreement provides that the resident may not have any pet without your consent and sets special rules and regulations if you do accept pets on the premises.

Do not complete this form without first reviewing the instruction sheet.


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