Multiple online companies claim to provide these official letters without ever seeing anyone in person. All you have to do is pay a fee and fill out a questionnaire.
This causes two problems, people pay for fake letters and everybody has easy access to promote their pet to an emotional support animal, maybe without needing it.
CEO of ESAD International, Chaz Stevens, has seen a lot of fraudulent online businesses. “Some clients are extremely flexible and just want to save a few dollars. The business needs to be dramatically cleaned up.”