ISLAND POINT, INC., NO. 1, ESA Application Form
This file contains the ESA Application Form for ISLAND POINT, INC., NO. 1, A CONDOMINIUM. It must be completed by both the resident and their medical provider. The form includes personal information, details about the animal, and verification of the disability.
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How do I fill this out?
To fill out this form, you will need to provide information about yourself, your animal, and your disability. Make sure both you and your medical provider complete all required fields. Sign and submit the form to the designated contact.
How to fill out the ISLAND POINT, INC., NO. 1, ESA Application Form?
1
Provide your personal information and details about your animal.
2
Describe your disability and how the animal helps.
3
Have your medical provider complete the verification section.
4
Sign the release authorization.
5
Submit the completed form to the Association's legal counsel.
Who needs the ISLAND POINT, INC., NO. 1, ESA Application Form?
1
Residents of ISLAND POINT, INC., NO. 1 with a disability that requires an ESA or service animal.
2
Medical providers who need to verify a resident's disability and necessity for an animal.
3
Legal counsel for ISLAND POINT, INC., NO. 1 who process ESA applications.
4
Residents who want to ensure compliance with the Florida and Federal Fair Housing Acts.
5
Property management staff needing to maintain records of ESA accommodations.
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What are the instructions for submitting this form?
Submit the completed form to the Association's legal counsel via email at dan@attorneyjoe.com, or mail to Cianfrone, Nikoloff, Grant & Greenberg, P.A., 1964 Bayshore Blvd., Suite A, Dunedin, FL 34698. Ensure all fields are filled out accurately and both the resident and medical provider have signed the form. Timely submission helps in processing your request efficiently.
What are the important dates for this form in 2024 and 2025?
Important dates for submitting this form will vary based on individual needs and community guidelines. Ensure timely submission to comply with housing and accommodation regulations.
What is the purpose of this form?
The purpose of this form is to apply for the right to keep an emotional support or service animal within the ISLAND POINT, INC., NO. 1, A CONDOMINIUM community. The form must be completed by both the resident and their medical provider, detailing the resident's disability and the necessity of the animal. By submitting this form, residents seek a reasonable accommodation to ensure equal opportunity to use and enjoy their dwelling.
Tell me about this form and its components and fields line-by-line.
- 1. Name: The resident's full name.
- 2. Property Address: The address of the property within the community.
- 3. Description of Animal: Details about the animal, including species, breed, weight, color, and age.
- 4. Description of Disability: Information about the resident's disability.
- 5. How Disability Limits Major Life Activities: Explanation of how the disability impacts major life activities.
- 6. How ESA/Service Animal Helps: Description of how the animal alleviates symptoms of the disability.
- 7. Past Accommodations: Information on any past accommodations for the disability.
- 8. Release Authorization: Authorization for the release of medical information and contact with the medical provider.
- 9. Signature of Resident: The resident's signature and date.
- 10. Medical Provider Information: Details about the medical provider, including license number and familiarity with housing acts.
- 11. Verification Questions: A series of questions for the medical provider to verify the need for the animal.
- 12. Signature of Medical Professional: The medical provider's signature, name, firm/organization, title, license number, address, and phone number.
What happens if I fail to submit this form?
Failure to submit this form may result in the Association not acknowledging the need for the service or emotional support animal. This could lead to the resident being unable to keep the animal in the dwelling.
- Non-Compliance: Risk of not complying with housing regulations and potential legal issues.
- Animal Restriction: The animal may not be allowed to reside within the community.
- Lack of Accommodation: The resident may not receive the necessary accommodation for their disability.
How do I know when to use this form?
- 1. Need for Emotional Support Animal: When a resident requires an ESA for their disability.
- 2. Verification by Medical Provider: When a medical provider needs to verify the necessity of the animal.
- 3. Compliance with Housing Acts: To ensure compliance with Florida and Federal Fair Housing Acts.
- 4. Legal Documentation: For legal documentation and records by the Association.
- 5. Animal Accommodations: To request specific accommodations for the animal within the community.
Frequently Asked Questions
How do I fill out the ESA Application Form?
Provide your personal information, details about your animal, and describe your disability. Have your medical provider complete their section, sign the release authorization, and submit the form.
Can I fill out the form online?
Yes, you can fill out the form online using PrintFriendly's PDF editor.
What information does my medical provider need to provide?
Your medical provider needs to verify your disability and confirm the necessity of the service or support animal.
How can I sign the form?
Use PrintFriendly's digital signature tool to add your signature directly to the form.
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What if I need to make changes to a completed form?
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Where do I submit the completed form?
Submit the form to the Association's legal counsel via email or regular mail.
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