is vaccinated for rabies.

To my knowledge, does not have fleas or ticks or a disease that would endanger people or other animals.

has been trained to do work or perform tasks to assist me with my disability.

has been trained to behave in a public setting.

I understand that a properly trained dog remains under the control of its handler. I understand that a properly trained dog does not act aggressively by biting, barking, jumping, lunging, or injuring people or other animals. It also does not urinate or defecate on the aircraft or in the gate area.

I understand that if shows that he/she have not been properly trained to behave in public, then the airline may treat as a pet by charging a pet fee and requiring to be transported in an FAA-approved pet carrier.

To the best of my knowledge, has not behaved aggressively or caused serious injury to another person/dog.

I understand that must be harnessed, leashed, or tethered at all times in the airport and on the aircraft.

I understand that if causes damage, then the airline may charge me for the cost to repair it, as long as the airline would also charge passengers without disabilities to repair the similar kinds of damage.

I am signing an official document of the U.S. Department of Transportation. My answers are true to the best of my knowledge. I understand that if I knowingly make false statements on this document, I can be subject to fines and other penalties.


Service Dog Agreement: I acknowledge that my completion of this form is to voluntarily register into ADA SA's registry. Doing so will provide me with identification materials to help others identify as a Service Dog. Furthermore, I certify that my has been trained to assist me with my disability. I am not registering for fraudulent misrepresentation of a Service Animal, and understand that must meet the legal requirements in order for this registration and identification materials to be valid and to receive the privileges, including access into housing and public places with a Service Animal. Additionally, I understand that both federal and local laws regarding Service Dogs are subject to change in the future, and I will continue to abide by all current regulations. Should any access or privilege issues arise, I hold ADASAR LLC and its agents harmless, and understand ADASAR LLC can provide no guarantees that landlords or any other third parties will be compliant and non discriminatory with access and privileges protected by laws regarding services animals. Once submitted, customized items cannot be cancelled and are not subject to a refund. Orders lost, stolen or returned due to invalid addresses or relocation are non-refundable and are subject to a reshipment fee starting at $9.99. I also give ADASAR LLC, and its agents, permission to contact me via text, phone and email and to give promotional offers periodically.

Emotional Support Animal (ESA) Agreement: To my knowledge, does not have fleas or ticks or a disease that would endanger people or other animals. I acknowledge that my completion of this form is to voluntarily register as my Emotional Support Animal into ADA SA's registry. Doing so will provide me with identification materials to help others identify as my Emotional Support Animal. Furthermore, I certify that I have or will get a signed letter and/or script from a licensed Mental Health Professional or my Physician to have an as my Emotional Support Animal. I am not registering for fraudulent misrepresentation of an Emotional Support Animal, and understand that must meet the legal requirements in order for this registration and identification materials to be valid and to receive the privileges, including access into housing and public places with an Emotional Support Animal where applicable. Additionally, I understand that both federal and local laws regarding Emotional Support Animals are subject to change in the future, and I will continue to abide by all current regulations. Should any access or privilege issues arise, I hold ADASAR LLC and its agents harmless, and understand ADASAR LLC can provide no guarantees that landlords or any other third parties will be compliant and non-discriminatory with access and privileges protected by laws regarding Emotional Support Animals. Once submitted, customized items cannot be cancelled and no refunds will be offered. Orders lost, stolen or returned due to invalid addresses or relocation are non-refundable and are subject to a reshipment fee starting at $9.99. I also give ADASAR LLC, and its agents, permission to contact me via text, phone and email and to give promotional offers periodically.