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.
Email: firstname.lastname@example.org 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)
account number: (if applicable)
Confirmation / Record locator - (6 letters)
American Airlines Emotional Support Animal ID:
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
Customer signature (parent / guardian required if under 18):
CONFIRMATION OF ANIMAL BEHAVIOR