Fillable Emotional Support / Psychiatric Service Animal Request (American Airlines)

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Emotional Support / Psychiatric Service Animal Request (American Airlines)

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Emotional Support / Psychiatric Service Animal Request
Emo
tional support / psychiatric service animals may fly in the cabin at no charge if they meet these requirements:
• 1 emotional support / psychiatric service animal per person
• Animal must be 4 months or older
• Animal must be clean and well-behaved
• Animal must be able to fit at your feet, under your seat or in your lap (must be smaller than a 2-year old child)
• Animals will be evaluated on a case-by-case basis to determine if they are too large or too heavy to be safely
accommodated
• If t
he animal is in a kennel, it must fit under the seat in front of you with the animal in it
• Final approval for travel will not happen until you arrive to the airport and it’s determined the animal will safely fit at
your feet
Emotional support / psychiatric service animals must be trained to behave properly in public and they won’t be permitted in
the cabin if they display any form of disruptive behavior that can’t be successfully corrected or controlled, including but not
limited to:
• Growling
• Biting or attempting to bite
• Jumping on or lunging at people
Emotional support / psychiatric service animals must be in your control at all times by leash and / or harness.
If this behavior is observed at any point during your journey and isn’t corrected or controlled, the animal will be considered a
pet and all requirements and applicable fees will apply
To
travel with an emotional support / psychiatric service animal in the cabin, you must contact the Special Assistance Desk and
submit all required documentation at least 48 hours before your flight. We’ll notify you upon document approval with a
unique animal ID to be used when traveling with this animal.
If you don’t complete or meet all the requirements, your animal may be able to fly as a pet. All applicable fees apply.
You must complete, submit and receive approval of all 3 forms before your animal will be allowed to fly:
• Medical / Mental Health Professional Form
• Veterinary Health Form
• Confirmation of Animal Behavior Form
We
may keep your completed documents on file for up to 3 years to support your travel requests and for legal retention
purposes.
Read and complete all 3 forms
1. Submit all 3 forms together at least 48 hours before your flight
• Email: sac@aa.com
• Fax: 817-967-4715
2. Keep documents with you during your trip
EMOTIONAL SUPPORT / PSYCHIATRIC SERVICE ANIMAL REQUIREMENTS
ANIMAL BEHAVIOR
ADVANCE NOTIFICATION
REQUIRED DOCUMENTS
INSTRUCTIONS
Form 1 of 3
Emotional Support / Psychiatric Service Animal Request
All 3 required documents must be submitted together to the Special Assistance Desk
at least 48 hours before your flight.
By submitting this form, you agree to the use of personal information in connection with travel.
For more information, see our privacy policy at aa.com/privacy.
Email: sac@aa.com Fax: 817-967-4715
Must be completed by each person traveling with an emotional support or psychiatric service animal (parent /
guardian required if under 18).
Customer name: (please print)
AAdvantage
®
account number: (if applicable)
Confirmation / Record locator - (6 letters)
Travel dates:
American Airlines Emotional Support Animal ID:
Animal type:
Animal breed:
Animal weight:
Name of licensed medical / mental health professional:
(please print)
Name of practice:
Phone:
Type of medical license:
Date of medical license:
License Number:
State of jurisdiction:
I am a licensed mental health or medical professional. (Check box to confirm.)
I certify this patient needs the above mentioned animal to travel as an emotional support or psychiatric service
animal for air travel and/or for activity at their destination. (Check box to confirm.)
I certify that I am currently treating the above named patient for a mental health or emotional disability
recognized in the Diagnostic and Statistical Manual of Mental Disorders (DSM). (Check box to confirm.)
Date:
MEDICAL / MENTAL HEALTH PROFESSIONAL FORM
This section to be completed by MEDICAL / MENTAL HEALTH PROFESSIONAL
Form 2 of 3
Emotional Support / Psychiatric Service Animal Request
All 3 required documents must be submitted together to the Special Assistance Desk
at least 48 hours before your flight.
By submitting this form, you agree to the use of personal information in connection with travel.
For more information, see our privacy policy at aa.com/privacy.
Email: sac@aa.com Fax: 817-967-4715
Must be completed by each person traveling with an emotional support or psychiatric service animal (parent / guardian
required if under 18).
Customer name: (please print)
AAdvantage
®
account number: (if applicable)
Confirmation / Record locator - (6 letters)
Travel dates:
American Airlines Emotional Support Animal ID:
Animal type:
Animal breed:
Animal weight:
Rabies vaccine given (date):
Rabies vaccine valid through (date):
Veterinarian license number:
Date veterinarian license issued:
State license issued in:
I have no reason to believe this animal would be unsafe to travel outside of a kennel in the cabin of an airplane, either by my
observation or based on input from the owner.
(Check box to confirm.)
Name of practice:
Phone:
Name (printed):
Licensed veterinary professional signature:
Date:
VETERINARY HEALTH FORM
This section to be completed by VETERINARY PROFESSIONAL
Form 3 of 3
Emotional Support / Psychiatric Service Animal Request
All 3 required documents must be submitted together to the Special Assistance Desk
at least 48 hours before your flight.
By submitting this form, you agree to the use of personal information in connection with travel.
For more information, see our privacy policy at aa.com/privacy.
Email: sac@aa.com Fax: 817-967-4715
Must be completed by each person traveling with an emotional support or psychiatric service animal (parent / guardian
required if under 18). All fields are required unless marked ‘if applicable’.
Customer name: (please print)
AAdvantage
®
account number: (if applicable)
Confirmation / Record locator - (6 letters)
Travel dates:
American Airlines Emotional Support Animal ID:
Animal type:
Animal breed:
Animal weight:
I am requesting to travel on American Airlines with an Emotional Support / Psychiatric Service Animal. I have read and
understand the following animal behavior guidelines (all boxes must be checked to confirm acknowledgment).
I confirm that my animal is trained to behave properly in public, including taking direction at command.
I confirm that my animal will fit within my personal space / within the seat space I bought and will remain on a
leash, harness, or in an approved carrier that fits under the seat.
I confirm that my animal will not occupy any seat (animal must remain at your feet, under your seat, or in your
lap (lap animals must be smaller than a 2-year old child) for the entire flight.
I understand that if my animal exhibits any unsafe, untrained or inappropriate behavior, American Airlines may
consider my animal a pet and all requirements and applicable fees will apply.
I assume full responsibility for the behavior and actions of my animal, including its interaction with crew, or
other passengers and their property while on the plane.
I understand that I will be expected to reimburse American Airlines or its passengers for any losses, damages
or expenses resulting from misbehavior or actions of my animal.
I understand that the state of Hawaii and foreign countries have specific animal entry requirements and that I
am responsible for complying with these regulations.
I acknowledge that I have read and understand the behavior guidelines for emotional support and psychiatric service
animals.
Customer signature (parent / guardian required if under 18):
Date:
Email address:
Phone contact:
CONFIRMATION OF ANIMAL BEHAVIOR
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Emotional Support Psychiatric Service Animal Request (American Airlines)

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Completed 28 August 2020

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