ESA Letter North Carolina: How to Get It and ESA Laws in NC

By: Athena Angela Gaffud, DVM Updated: February 24, 2025

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Obtaining an Emotional Support Animal (ESA) letter significantly improves the quality of life for North Carolina residents facing mental health challenges. An ESA letter provides official documentation that a licensed mental health professional has recommended an emotional support animal as part of an individual’s treatment plan. This designation offers substantial benefits, such as exemption from housing restrictions that prohibit pets and protection from additional pet fees, ensuring individuals live with their support animals without undue stress. To fully understand the process and protections, knowing how to get an ESA letter and familiarize oneself with North Carolina's emotional support animal laws is crucial. These laws, including the Fair Housing Act (FHA) and state-specific provisions, safeguard the rights of ESA owners by ensuring fair treatment in housing situations. Unlike service animals, emotional support animals are not required to perform specific tasks but provide therapeutic companionship, making them invaluable for those with emotional or psychological conditions.

What is the Importance of ESA Letters for North Carolina Residents?

The importance of ESA letters for North Carolina residents lies in their role as legally recognized documentation that connects emotional support animals to an individual’s mental health needs. An ESA letter from North Carolina proves that a licensed mental health professional, or other health care provider, has evaluated the individual and determined that an emotional support animal is a necessary part of their treatment plan. ESA letters grant individuals protections under federal laws, such as the Fair Housing Act (FHA), ensuring they live with their support animal, even in housing with no-pet policies. North Carolina ESA laws align with federal guidelines, offering further clarity and assurance to residents. While ESA letters issued by licensed professionals from any state are valid, obtaining one from a provider familiar with North Carolina’s specific regulations ensures compliance and maximizes legal protection for residents.

Why Get an Emotional Support Animal in North Carolina?

An Emotional Support Animal (ESA) is a companion animal that provides therapeutic benefits to individuals coping with emotional or psychological conditions, such as anxiety, depression, Post-traumatic stress disorder (PTSD), or stress. Unlike service animals, ESAs are not trained to perform specific tasks but offer comfort and companionship that significantly enhance mental well-being. For residents in North Carolina, having an Emotional Support Animal provides critical legal protections under federal laws like the Fair Housing Act (FHA), which ensures individuals live with their ESAs in housing with no-pet policies without facing discrimination or additional fees. State-specific guidelines align with NC ESA laws, reinforcing these rights and offering residents clarity and support. Beyond legal benefits, ESAs contribute profoundly to personal well-being by reducing loneliness, promoting emotional stability, and enhancing overall quality of life. They are a key component in a holistic treatment plan, offering non-judgmental support and companionship. While there is no official emotional support animal registration in NC, obtaining a valid ESA letter from a licensed professional ensures compliance with legal requirements and maximizes the therapeutic and practical benefits of owning an ESA.

Is Registration of ESAs in North Carolina Required?

No, in North Carolina, ESA registration NC is not required for an animal to be recognized as an Emotional Support Animal (ESA). There is a common misconception that pets must be certified or registered to become ESAs, but this is inaccurate. Under federal laws like the Fair Housing Act (FHA), the only requirement for an animal to be recognized as an ESA is a valid ESA letter issued by a licensed professional who prescribes an animal as an ESA. This letter confirms that the individual has an emotional or psychological condition for which the ESA provides essential therapeutic support.

While websites offering emotional support animal registration in NC or ESA certifications seem appealing, they are not legally recognized and provide no additional benefits or protections. The ESA letter alone is sufficient to secure housing rights and protections, ensuring that individuals are allowed to live with their ESA even in no-pet housing. This simple, evidence-based process eliminates the need for unnecessary registrations, focusing instead on the meaningful role an ESA plays in improving mental well-being.

How do ESA Letters in North Carolina differ from other States?

ESA letters in North Carolina do not differ from other states. Mental health professionals with active licenses write ESA letters in all states. 

Some states require a 30-day relationship between the ESA candidate and LMHP before the ESA letter is issued, but North Carolina does not have such requirements. 

The process of getting ESA letters in every state is similar, and letters from different states are the same. The only difference is in the scope of rights ESAs have at a state level.    

North Carolina does not have state-specific ESA laws, meaning emotional support animals are protected by federal laws exclusively, such as the Fair Housing Act (FHA). 

What are the Specific Emotional Support Animal Laws in North Carolina?

  • North Carolina ESA Housing Laws: Under the Fair Housing Act (FHA), individuals with ESAs in North Carolina are entitled to reasonable accommodations in housing. This means landlords must not impose pet restrictions, breed bans, or additional fees for an ESA. These protections ensure that those with an ESA secure housing without discrimination. It’s important to note that tenants must provide a valid ESA letter to assert their rights under the state's Emotional Support Animal Laws.
  • North Carolina ESA Employment Laws: While service animals are covered under the Americans with Disabilities Act (ADA) for workplace accommodations, emotional support animals (ESAs) are not granted the same protections. Employers in North Carolina are not legally required to accommodate emotional support animals. However, discussing the needs with an employer and providing documentation sometimes results in voluntary accommodations depending on the workplace.
  • North Carolina ESA Laws for Public Places: Under the ADA, ESAs are not considered service animals, so they are not guaranteed access to public places such as restaurants, stores, or public transportation in North Carolina. Public spaces allow ESAs at their discretion but are not legally required. Understanding the laws for ESA animals helps clarify these boundaries.
  • North Carolina ESA Travel Laws: The Air Carrier Access Act (ACAA) previously allowed ESAs on flights. However, recent federal changes now classify ESAs as pets rather than service animals for air travel. Airlines are no longer required to accommodate ESAs, meaning owners must follow pet travel policies, including fees and restrictions.

North Carolina penalizes people falsely claiming a pet as an ESA or service animal. Such actions undermine the integrity of North Carolina's Emotional Support Animal Laws and result in fines or other legal consequences. To ensure compliance, individuals must know how to get an emotional support animal letter from a licensed professional and avoid fraudulent practices.

Is Getting an ESA Letter Online Legal in North Carolina?

Yes, getting an ESA letter online is legal in North Carolina, provided the process is legitimate and involves a licensed professional. To obtain an ESA letter online, individuals must undergo an evaluation by a licensed provider who assesses their mental health condition and determines whether an Emotional Support Animal (ESA) is appropriate for their treatment. It’s important to note that while many online services offer ESA letters, they must be issued by a licensed professional to be legally recognized under emotional support animal NC laws. Simply paying for a letter without a legitimate consultation or assessment does not meet the legal criteria. When properly obtained, an emotional support animal North Carolina letter grants individuals the same housing and legal protections afforded by federal laws, such as the Fair Housing Act (FHA). Always ensure that the online service connects with a licensed mental health professional to maintain compliance with state and federal regulations.

Can a Landlord Reject an ESA in North Carolina?

No, a landlord cannot reject an ESA in North Carolina, provided the tenant follows the proper legal procedures. Under the Fair Housing Act (FHA), landlords are required to make reasonable accommodations for tenants with disabilities, which includes allowing an Emotional Support Animal in housing, even in no-pet buildings. Tenants must submit a valid ESA letter from a licensed mental health professional to the landlord, which explains that the ESA is part of their treatment plan for a mental health condition. This letter is typically the only documentation required, and emotional support animal registration in North Carolina is unnecessary. However, some landlords request additional information if the request is unclear or the tenant’s need for an ESA is unclear.

There are exceptions to the protections for Emotional Support Animals (ESAs). Landlords have the option to refuse an ESA if it poses a direct threat to safety or causes significant property damage. If the ESA is poorly controlled or disrupts other tenants, this is also a ground for rejection. Certain housing types, such as single-family homes and owner-occupied buildings with four or fewer units, have limited exceptions. Also, non-profit private clubs and religious organizations in North Carolina are exempt from Fair Housing rules.

Tenants must first inform the landlord of their need for an ESA, provide the ESA letter, and clearly outline their rights under emotional support animal NC housing laws. Landlords are legally obligated to respond to this request and make reasonable accommodations unless one of the exceptions mentioned above applies. Tenants are protected from discrimination based on their need for an ESA and must know that retaliation or refusal to accommodate is prohibited. If a request is wrongfully denied, they have the right to seek legal recourse under state and federal law.

Can you have Multiple Emotional Support Animals in North Carolina?

Yes, it is possible to have multiple Emotional Support Animals in North Carolina, as long as the individual demonstrates that each animal is necessary to alleviate specific symptoms or improve areas of their lives. Prescribing multiple ESAs is up to the discretion of the licensed professional who evaluates a patient. While there is no specific limit set by state law, an individual must be able to prove that the presence of each ESA is a legitimate and necessary part of their treatment plan. How to get an emotional support animal in NC is similar for multiple animals, where an individual needs a valid ESA letter from a licensed mental health professional for each animal.

Under emotional support animal laws in NC, landlords are required to make reasonable accommodations for individuals with disabilities. However, they have the right to request further documentation or clarification if the number of ESAs seems excessive or disruptive to others in the housing environment. In such cases, the landlord assesses whether the number of animals creates an undue burden or poses safety concerns. As long as the request for multiple ESAs is justified and the tenant follows the necessary procedures, they are legally entitled to have more than one emotional support animal in their home.

How to Get an ESA Letter in North Carolina?

The indicative steps on how to get an ESA letter in North Carolina. These are suggested steps as to how the process can work outside of CertaPet.:

  • Consult a Licensed Mental Health Professional. The first step is to schedule an appointment with a licensed mental health professional, such as a therapist, counselor, or psychiatrist. They assess the individual’s emotional or psychological condition to determine if an ESA is a necessary part of the treatment plan.
  • Obtain an ESA Letter. If the mental health professional determines an ESA is appropriate, they provide a signed ESA letter. This letter must clearly state that the individual has a qualifying condition and that the animal is part of the therapeutic plan.
  • Ensure Compliance with State Laws. Ensure the ESA letter complies with ESA laws in NC and includes all necessary details, such as the professional's contact information and license number. This ensures the letter is valid for housing and other legal protections.
  • Submit the ESA Letter to the Landlord or Housing Authority. If individuals need an ESA for housing, provide the landlord with the ESA letter. The letter guarantees protection under the Fair Housing Act and ESA North Carolina laws, ensuring tenants live with their ESA in pet-restricted housing.

CertaPet offers a convenient and legitimate online process for obtaining an ESA letter in North Carolina. By connecting with a licensed professional through CertaPet, individuals quickly receive the required letter that complies with ESA laws in NC. Simply complete the online questionnaire, get evaluated, and receive the ESA letter for housing, travel, and other legal needs.

What are the Advantages of Getting an ESA Letter in North Carolina through CertaPet?

The advantages of getting an ESA letter in North Carolina through CertaPet are listed below.

  • Legitimacy and Compliance with NC Laws: CertaPet connects individuals with licensed mental health professionals who understand the specific requirements of NC laws on emotional support animals. This ensures the ESA letter meets all legal standards, making it valid for housing and travel purposes.
  • The convenience of Online Services: CertaPet offers an easy, streamlined process for getting an ESA letter online without needing in-person visits, saving time and effort. Individuals must complete the evaluation from the comfort of their homes, making it a flexible solution for busy individuals.
  • Quick and Efficient Process: Once the online evaluation is complete, individuals typically receive their ESA letter quickly, often within a few days. This prompt service allows individuals to move forward with securing housing or making travel arrangements without delays.
  • Protection Under Federal and State Laws: By working with CertaPet, individuals ensure that the ESA letter adheres to federal laws such as the Fair Housing Act (FHA) and emotional support animal North Carolina laws, guaranteeing the necessary legal protections when living with their ESA.
  • Support for Housing and Travel: CertaPet’s ESA letter is accepted by landlords and airlines, ensuring that people with an ESA live in pet-restricted housing and travel without additional fees or complications.

Overall, CertaPet offers a reliable and straightforward way to obtain an ESA letter, helping individuals in North Carolina access the support they need in a legally recognized and convenient manner.

CertaPet's Quick and Easy Process for ESA Letters

  1. Free online assessment. A quick online screening test determines whether an ESA is a good fit for the applicant. The test is free of charge and takes only a few minutes. 
  2. Consult with a therapist. CertaPet automatically searches for a mental health professional licensed in California with whom a patient will conduct their teleconsultations from the comfort of your own home.
  3. Get your ESA Letter. The CertaPet ESA letter provided by the LMHP is accessible online or is mailed directly to your address. 


Do you Qualify for an ESA Letter?

Take our free screening test and find out in as little as 5 minutes. 

Do ESA Letters in North Carolina need to be Renewed Annually?

Yes, ESA letters in North Carolina need to be renewed annually. While an ESA letter is valid when it is issued, it must be kept up to date to ensure continued legal protections for housing, travel, and other accommodations. The renewal process involves re-evaluating the individual’s mental health status and confirming that an emotional support animal is still a necessary part of their treatment plan. Maintaining an active ESA letter is crucial for residents seeking to keep their emotional support dog in NC, or other emotional support animal in housing or travel situations. A licensed mental health professional must issue the letter and be updated every year to reflect any changes in the individual’s mental health condition. Regular renewal ensures the ESA remains recognized under the ESA letter of North Carolina laws and continues to meet the necessary legal and therapeutic requirements.

How to Avoid Online Scams in ESA Letters in North Carolina?

Here’s a list of steps to help individuals avoid online scams when seeking ESA letters in North Carolina: 

  • Verify the Provider's Credentials. Ensure that the chosen online service connects with a licensed mental health professional. The professional must be licensed in the state, in this case, North Carolina, to comply with NC emotional support animal laws.
  • Look for Legitimate Online Reviews and Testimonials. Check independent reviews and testimonials from users who have obtained their ESA NC letters through the service. Avoid platforms with no reviews or those that seem overly promotional.
  • Do Not Pay for ESA Registration or Certification. Be cautious of websites offering emotional support animal certification or registration for a fee, as these services do not hold legal value. The only necessary documentation is the ESA letter from a licensed professional.
  • Ensure the ESA Letter is Specific and Detailed. A legitimate ESA letter must include the mental health professional’s contact details, license number, and a statement that the animal is part of the treatment plan. It must be personalized and tailored to specific needs.
  • Avoid Services That Promise Quick or Instant ESA Letters. If an online service promises to issue an ESA letter immediately without consultation or evaluation, it’s likely a scam. A legitimate ESA letter requires an assessment by a licensed professional.

CertaPet is a legitimate service that connects individuals with licensed mental health professionals who adequately assess the need for an ESA and provide a valid letter in compliance with NC emotional support animal laws. By using CertaPet, individuals are assured of receiving a genuine ESA NC letter that meets legal requirements and protects their rights.

author avatar
Athena Angela Gaffud, DVM Veterinarian
Dr. Athena Angela Gaffud is a licensed veterinarian, researcher, fact checker, and freelance medical writer from Isabela, Philippines.

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