Form
What type of dog do you need?
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Service Dog
Companion Support Dog
Facility Dog
I am a:
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Veteran
Child's Guardian
Adult
Other
Veterans section
Are you a US veteran with an honorable discharge?
*
Yes
No
Do you have a recommendation from your VA doctor for a service dog?
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Yes
No
Can you and all adults living in your home pass a criminal background check?
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Yes
No
Do you live within 250 miles of Montgomery, AL?
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Yes
No
Do you agree to attend all required training?
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Yes
No
Do you have a fenced-in yard attached to your home?
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Yes
No
Are you a post-9/11 veteran?
*
Yes
No
You do not qualify to apply for a Service Dog at this time.
You qualify to apply for a Service Dog. Please download this document, complete, and mail to the address provided.
Facility Dog section
Is the handler a full-time employee?
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Yes
No
Does the handler commit to bringing the dog to work everyday?
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Yes
No
Does the handler commit to attend five (5) days of training at the time of the Facility Dog's placement?
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Yes
No
Does the handler commit to attend two (2) days of training for recertification for three (3) years after receiving the Facility Dog?
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Yes
No
Does the handler commit to keeping the dog clean and groomed?
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Yes
No
Does the handler commit to learning and practicing the principles of Follow the Lead?
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Yes
No
Does the handler commit to completing and returning all surveys and required updates to Service Dogs Alabama?
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Yes
No
Is there a fenced in yard attached to the house?
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Yes
No
Are there more than three (3) pets in the home?
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Yes
No
Are there any aggressive animals in the home?
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Yes
No
Are there any children under the age of four (4) years old?
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Yes
No
Is the environment in the home low-stress?
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Yes
No
Is the interior and exterior of the home free of poisonous items?
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Yes
No
Is the interior and exterior of the home free of choking hazards?
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Yes
No
You qualify to apply for a Facility Dog!
You do not qualify to apply for a Facility Dog at this time.
Companion Support Dogs Section
Do you have a recommendation from your doctor for a Companion Support Dog?
*
Yes
No
Do you agree to attend required training?
*
Yes
No
Do you have a fenced yard attached to your home?
*
Yes
No
Is your home free of choking or poisonous hazards that could harm your dog?
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Yes
No
A Companion Support Dog does NOT have Public Access. Do you agree not to fake that your CSD is a Service Dog to gain Public Access and / or privileges?
*
Yes
No
A Companion Support Dog is for in-home assistance only and does NOT have Public Access. Do you need an CSD for at home use only?
*
Yes
No
You qualify to apply for a Companion Support Dog!
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Child Service Dog section
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