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Can a landlord be required to modify a "no pets" policy for an emotional support animal?

In most cases: yes, but there are exceptions.

Most cases involving housing and persons with disabilities are covered under the Fair Housing Amendments Act. Some are covered under section 504 of the Rehab Act, and some under the Americans with Disabilities act.

To learn whether any of these laws applies in your own situation, consult a qualified attorney, your state's Attorney General, your state's Human Rights Commission, or the Federal Department of Housing and Urban Development.