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All 50 States Covered

ESA & PSD Letters for
Every State in America

Connect with a state-licensed clinician wherever you live. Select your state for local ESA and PSD laws, your rights under the FHA and ADA, and same-day letter delivery.

50States Covered
Same-DayLetter Delivery
LicensedIn Your State
Alabama outlineAL

Alabama

Birmingham · Montgomery · Huntsville

Alaska outlineAK

Alaska

Anchorage · Fairbanks · Juneau

Arizona outlineAZ

Arizona

Phoenix · Tucson · Mesa

Arkansas outlineAR

Arkansas

Little Rock · Fort Smith · Fayetteville

California outlineCA

California

Los Angeles · San Francisco · San Diego

Colorado outlineCO

Colorado

Denver · Colorado Springs · Aurora

Connecticut outlineCT

Connecticut

Bridgeport · New Haven · Hartford

Delaware outlineDE

Delaware

Wilmington · Dover · Newark

Florida outlineFL

Florida

Miami · Orlando · Tampa

Georgia outlineGA

Georgia

Atlanta · Augusta · Columbus

Hawaii outlineHI

Hawaii

Honolulu · Pearl City · Hilo

Idaho outlineID

Idaho

Boise · Meridian · Nampa

Illinois outlineIL

Illinois

Chicago · Aurora · Joliet

Indiana outlineIN

Indiana

Indianapolis · Fort Wayne · Evansville

Iowa outlineIA

Iowa

Des Moines · Cedar Rapids · Davenport

Kansas outlineKS

Kansas

Wichita · Overland Park · Kansas City

Kentucky outlineKY

Kentucky

Louisville · Lexington · Bowling Green

Louisiana outlineLA

Louisiana

New Orleans · Baton Rouge · Shreveport

Maine outlineME

Maine

Portland · Lewiston · Bangor

Maryland outlineMD

Maryland

Baltimore · Columbia · Germantown

Massachusetts outlineMA

Massachusetts

Boston · Worcester · Springfield

Michigan outlineMI

Michigan

Detroit · Grand Rapids · Warren

Minnesota outlineMN

Minnesota

Minneapolis · Saint Paul · Rochester

Mississippi outlineMS

Mississippi

Jackson · Gulfport · Southaven

Missouri outlineMO

Missouri

Kansas City · Saint Louis · Springfield

Montana outlineMT

Montana

Billings · Missoula · Great Falls

Nebraska outlineNE

Nebraska

Omaha · Lincoln · Bellevue

Nevada outlineNV

Nevada

Las Vegas · Henderson · Reno

New Hampshire outlineNH

New Hampshire

Manchester · Nashua · Concord

New Jersey outlineNJ

New Jersey

Newark · Jersey City · Paterson

New Mexico outlineNM

New Mexico

Albuquerque · Las Cruces · Rio Rancho

New York outlineNY

New York

New York City · Buffalo · Rochester

North Carolina outlineNC

North Carolina

Charlotte · Raleigh · Greensboro

North Dakota outlineND

North Dakota

Fargo · Bismarck · Grand Forks

Ohio outlineOH

Ohio

Columbus · Cleveland · Cincinnati

Oklahoma outlineOK

Oklahoma

Oklahoma City · Tulsa · Norman

Oregon outlineOR

Oregon

Portland · Salem · Eugene

Pennsylvania outlinePA

Pennsylvania

Philadelphia · Pittsburgh · Allentown

Rhode Island outlineRI

Rhode Island

Providence · Cranston · Warwick

South Carolina outlineSC

South Carolina

Columbia · Charleston · North Charleston

South Dakota outlineSD

South Dakota

Sioux Falls · Rapid City · Aberdeen

Tennessee outlineTN

Tennessee

Nashville · Memphis · Knoxville

Texas outlineTX

Texas

Houston · San Antonio · Dallas

Utah outlineUT

Utah

Salt Lake City · West Valley City · Provo

Vermont outlineVT

Vermont

Burlington · South Burlington · Rutland

Virginia outlineVA

Virginia

Virginia Beach · Norfolk · Chesapeake

Washington outlineWA

Washington

Seattle · Spokane · Tacoma

West Virginia outlineWV

West Virginia

Charleston · Huntington · Morgantown

Wisconsin outlineWI

Wisconsin

Milwaukee · Madison · Green Bay

Wyoming outlineWY

Wyoming

Cheyenne · Casper · Laramie

Not sure which state applies to you?

Our licensed clinicians are authorized to practice in all 50 states. Whether you need an ESA letter or a PSD letter, get started and we'll match you with the right provider.

Get Your Letter →

ESA & PSD Letter Questions by State

The Fair Housing Act applies in every state, but some states have additional protections. Psychiatric Service Dogs (PSDs) also have ADA public-access rights. Here are the most common questions about getting an ESA or PSD letter and how it works in your state.

Does my ESA letter work in all 50 states?

Yes. The Fair Housing Act is a federal law, so your ESA letter protects your right to housing accommodation in all 50 states. Landlords and property managers across the country must consider reasonable accommodation requests for emotional support animals, regardless of local pet policies or breed restrictions. Some states like California, New York, and Illinois have added their own protections that go further than the federal baseline.

Do I need a state-licensed clinician for my ESA letter?

Yes, and this is one of the most important factors for whether your letter will be accepted. HUD guidelines state that an ESA letter must come from a licensed mental health professional who is licensed in the state where you live. A letter from a clinician licensed in a different state can be challenged by landlords. The Supportive Pet works with licensed clinicians in all 50 states to ensure your letter meets this requirement.

Which states have the strongest ESA housing protections?

California, New York, and Illinois have state laws that provide additional protections beyond the federal Fair Housing Act. California's FEHA (Fair Employment and Housing Act) is especially tenant-friendly. New York's Human Rights Law offers broad protections in multi-family housing. Illinois residents benefit from strong state disability accommodation rules. However, all 50 states are covered by the FHA, which forms a strong federal floor of protection for ESA owners.

Can my landlord deny my ESA request in any state?

A landlord can only deny an ESA request for specific reasons. Valid reasons include a direct safety threat to other residents, an undue financial burden, or substantial physical damage by the animal. No-pets policies, breed restrictions, and pet fees do not apply to ESAs. Small owner-occupied buildings with four or fewer units may be exempt from FHA rules.

How long does it take to get an ESA letter?

Most people receive their ESA letter the same day they complete their evaluation. The process starts with a short intake form. You then have a video or phone call with a licensed clinician in your state. If you qualify, your letter is issued the same day. Some states have specific evaluation requirements - select your state above for details.

What does an ESA letter need to include to be valid?

A valid ESA letter must include several key elements. It must be written on the clinician's official letterhead. It must include their license number and state of licensure. It must confirm your mental health diagnosis and state that your animal provides therapeutic support. It must be dated within the past year and signed by the clinician. Letters missing any of these elements can be challenged by landlords. Every ESA letter from The Supportive Pet includes all required components.

What happens if I move to a different state with my ESA?

If you move to a new state, your existing ESA letter may still be accepted by some landlords since the Fair Housing Act is federal law. However, HUD recommends that your ESA letter come from a clinician licensed in the state where you currently reside. If you move, it is best practice to obtain a new ESA letter from a licensed clinician in your new state. The Supportive Pet works with licensed clinicians in all 50 states, so getting an updated letter in your new state is straightforward. Your new landlord may also request a fresh evaluation as part of their accommodation review.

Which states have additional ESA requirements beyond the federal law?

Several states require a 30-day established provider relationship before an ESA letter can be issued - these include California, Arkansas, Iowa, Louisiana, and Montana. California also has strict rules under the AB 468 law that prohibit ESA letters from providers who have not had at least a 30-day existing professional relationship with the patient. States like New York and Illinois offer additional tenant protections through state disability accommodation laws. The Supportive Pet's clinicians are familiar with state-specific requirements and guide clients through the appropriate process for their state.

Can a landlord require a new ESA letter every year?

Yes. Most landlords and housing providers require an updated ESA letter annually. HUD guidance does not specify a mandatory renewal period, but landlords may ask for updated documentation to confirm the ongoing therapeutic need. ESA letters from The Supportive Pet are dated and valid for one year from the date of issue. Renewal evaluations are typically faster than the initial evaluation since the clinician already has context about your situation, and renewal letters are offered at a discounted rate for returning clients.

Are ESA letters accepted by all landlords in every state?

The Fair Housing Act requires most housing providers to accept valid ESA letters, but not all landlords are fully informed about their obligations. Owner-occupied buildings with four or fewer units and single-family homes sold or rented without a real estate broker are typically exempt from FHA requirements. Some landlords may initially resist or request additional verification, which is why The Supportive Pet includes free landlord support with every letter - our team will contact your housing provider directly to clarify FHA requirements if your accommodation request is challenged or delayed.