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.
Alabama
Birmingham · Montgomery · Huntsville
Alaska
Anchorage · Fairbanks · Juneau
Arizona
Phoenix · Tucson · Mesa
Arkansas
Little Rock · Fort Smith · Fayetteville
California
Los Angeles · San Francisco · San Diego
Colorado
Denver · Colorado Springs · Aurora
Connecticut
Bridgeport · New Haven · Hartford
Delaware
Wilmington · Dover · Newark
Florida
Miami · Orlando · Tampa
Georgia
Atlanta · Augusta · Columbus
Hawaii
Honolulu · Pearl City · Hilo
Idaho
Boise · Meridian · Nampa
Illinois
Chicago · Aurora · Joliet
Indiana
Indianapolis · Fort Wayne · Evansville
Iowa
Des Moines · Cedar Rapids · Davenport
Kansas
Wichita · Overland Park · Kansas City
Kentucky
Louisville · Lexington · Bowling Green
Louisiana
New Orleans · Baton Rouge · Shreveport
Maine
Portland · Lewiston · Bangor
Maryland
Baltimore · Columbia · Germantown
Massachusetts
Boston · Worcester · Springfield
Michigan
Detroit · Grand Rapids · Warren
Minnesota
Minneapolis · Saint Paul · Rochester
Mississippi
Jackson · Gulfport · Southaven
Missouri
Kansas City · Saint Louis · Springfield
Montana
Billings · Missoula · Great Falls
Nebraska
Omaha · Lincoln · Bellevue
Nevada
Las Vegas · Henderson · Reno
New Hampshire
Manchester · Nashua · Concord
New Jersey
Newark · Jersey City · Paterson
New Mexico
Albuquerque · Las Cruces · Rio Rancho
New York
New York City · Buffalo · Rochester
North Carolina
Charlotte · Raleigh · Greensboro
North Dakota
Fargo · Bismarck · Grand Forks
Ohio
Columbus · Cleveland · Cincinnati
Oklahoma
Oklahoma City · Tulsa · Norman
Oregon
Portland · Salem · Eugene
Pennsylvania
Philadelphia · Pittsburgh · Allentown
Rhode Island
Providence · Cranston · Warwick
South Carolina
Columbia · Charleston · North Charleston
South Dakota
Sioux Falls · Rapid City · Aberdeen
Tennessee
Nashville · Memphis · Knoxville
Texas
Houston · San Antonio · Dallas
Utah
Salt Lake City · West Valley City · Provo
Vermont
Burlington · South Burlington · Rutland
Virginia
Virginia Beach · Norfolk · Chesapeake
Washington
Seattle · Spokane · Tacoma
West Virginia
Charleston · Huntington · Morgantown
Wisconsin
Milwaukee · Madison · Green Bay
Wyoming
Cheyenne · Casper · Laramie
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.