Application Form - Canine Support Teams

Canine Support Teams Application Form

Please complete the application below to apply for a Canine Support Team service dog.

Before continuing to apply for a service dog, please confirm you have the following documentation ready to upload.
These items are required to complete the application process and progress on the application cannot be saved.

Autobiography (In a separate document, please describe your life prior to your disability and how your disability affects your life now. Please describe how a dog would help.)

A recent photo of yourself

Financial Documentation (Most recent tax return, proof of income or statement of financial responsibility)

Proof of housing over six consecutive months (utility bills, house lease etc).

Household placement agreement signed by all household members found here.

Professional Reference Report completed by your physician (you may print the form here, or have them fill out the form found online here)

DD214 (Veterans Only)

Letter verifying service-related diagnosis of a disability (if applicable)

$100 non-refundable application fee (waived for veterans)