esacard

Free sample + template

Sample ESA Letter: What a Real One Looks Like

Before you pay anyone, us included, you should know exactly what you're buying. Here's an annotated example of a legitimate ESA letter, and the honest truth about template letters.

Jordan R. Ellis, LCSW

Licensed Clinical Social Worker · License #TX-48291-C
Verified at your state licensing board · (512) 555-0100

July 22, 2026

Re: Reasonable Accommodation Request for an Emotional Support Animal

To Whom It May Concern:

I am a licensed mental health professional in the State of Texas. I have completed a clinical evaluation of my client, who is a person with a disability as defined by the Fair Housing Act, meaning a mental health condition that substantially limits one or more major life activities.

In my professional judgment, my client's animal companion provides emotional support that alleviates one or more identified symptoms of this condition. I therefore support their request for a reasonable accommodation to keep this animal in their residence, consistent with the Fair Housing Act, 42 U.S.C. § 3604(f)(3)(B).

Please contact my office should you require verification of this letter's authenticity.

Sincerely,

Jordan R. Ellis

Jordan R. Ellis, LCSW · #TX-48291-C

① Letterhead + credentials

Real name, real license type, real contact info. It's the first thing a leasing office looks for.

② License number

Verifiable against the state board in about 30 seconds. This is the letter's spine.

③ The clinical statement

Disability + support relationship, stated plainly, with no diagnosis disclosed. Privacy is built into the standard.

④ Date + signature

Current (within ~12 months) and personally signed. Undated PDFs get bounced.

Sample for illustration. The professional shown is fictional. A real letter carries your own provider's verified details.

Free template

Copy this template to bring to your therapist

Bracketed fields are your provider's to fill in. Many clinicians will write an ESA letter at no extra charge as part of your care: this shows them exactly what housing providers expect.

[Provider name], [credentials]
[License type] · License #[number] · [State]
[Practice address and phone]

[Date]

Re: Reasonable Accommodation Request for an Emotional Support Animal

To Whom It May Concern:

I am a licensed mental health professional in the State of [state]. I have completed a clinical evaluation of my client, [client name], who is a person with a disability as defined by the Fair Housing Act, meaning a mental health condition that substantially limits one or more major life activities.

In my professional judgment, my client's animal companion provides emotional support that alleviates one or more identified symptoms of this condition. I therefore support their request for a reasonable accommodation to keep this animal in their residence, consistent with the Fair Housing Act (42 U.S.C. § 3604(f)(3)(B)).

Please contact my office should you require verification of this letter's authenticity.

Sincerely,

[Signature]
[Provider name], [credentials] · License #[number]

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Sample letter questions

You can write it, but it won't work. The letter's legal force comes from who signs it: a licensed mental health professional who evaluated you. Landlords verify the license number and the letterhead. A self-signed template fails that check in seconds. Use the template to understand what you're buying, or to hand to your existing therapist.

Related: Who can write an ESA letter? · Are free ESA letters real?