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ESA Letter Guam

Guam ESA Laws: A Complete 2026 Guide (Housing, Travel & Workplace)

Erika Caturegli, PhDWritten by: Erika Caturegli, PhD - Updated:Feb 04, 2026
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If you live in Guam and rely on an emotional support animal (ESA), understanding your rights as a U.S. territory resident is essential to protecting your housing accommodations. As a U.S. territory, Guam follows federal Fair Housing Act protections, meaning ESA owners have the same housing rights as residents in the 50 states. However, Guam also has unique territorial regulations as a rabies-free island, including strict animal quarantine requirements and import laws that apply to all animals (including emotional support animals) entering the territory.

This comprehensive guide breaks down everything Guam residents need to know about emotional support animals: federal Fair Housing Act protections, Guam’s rabies-free quarantine requirements, your housing rights, the proper process for securing legitimate documentation, and crucial information about where ESAs are and aren’t permitted in Guam.

Warning: Guam Has Strict Animal Import and Quarantine Requirements

Guam is a rabies-free territory and enforces strict quarantine laws to maintain this status. Under Title 10 Guam Code Annotated Chapter 34 Article 3, bringing a pet to Guam without a valid Entry Permit can result in imprisonment of the pet owner and a fine not to exceed $1,000. These requirements apply to ALL animals, including service animals, emotional support animals, and military working animals: there are no exceptions. Quarantine regulations may require an owner to be separated from an emotional support animal during the mandatory quarantine period. Additionally, misrepresenting an ESA as a service animal to gain public access is illegal.

Key Takeaways for Guam ESA Owners

  • Emotional support animals are protected under the federal Fair Housing Act (FHA) in Guam, which guarantees housing rights and requires landlords to accommodate legitimate ESAs
  • Strict animal import requirements: ALL animals entering Guam require an Entry Permit regardless of ESA status. Failure to comply results in fines up to $1,000 and possible imprisonment
  • Mandatory quarantine: Animals entering Guam face quarantine periods ranging from 5 days to 120 days depending on origin and compliance with pre-arrival requirements
  • Rabies-free territory: Guam has been rabies-free since 1972 and enforces strict vaccination and testing requirements to maintain this status
  • Must use Guam-licensed mental health professional: Your ESA letter should come from a mental health professional licensed in Guam to ensure acceptance by landlords
  • No pet fees or deposits: Properly documented ESAs in Guam housing are exempt from pet rent, pet fees, and pet deposits under FHA
  • No public access rights: ESAs cannot enter restaurants, stores, hotels, or most public places in Guam unless they have pet-friendly policies
  • No free air travel: Airlines have treated ESAs as regular pets since 2021, subject to standard pet fees and carrier requirements
  • Workplace access not guaranteed: Employers in Guam maintain discretion over workplace ESA accommodations under federal ADA guidelines

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What is a Guam Emotional Support Animal?

In Guam, emotional support animals are regulated under federal law, specifically the Fair Housing Act (FHA). Guam has no separate territorial ESA legislation beyond federal protections. An emotional support animal in Guam is an animal that provides therapeutic benefits to individuals with mental or emotional disabilities through companionship and presence, without requiring specialized training to perform specific disability-related tasks.

ESA vs. Service Dog in Guam (Quick Comparison)

FeatureEmotional Support AnimalService Dog
Main RoleComfort and emotional supportSpecifically trained tasks for disability
Training RequiredNo special training requiredYes, individually trained for specific tasks
Key Protection in GuamHousing (Federal FHA)Housing, public access, employment (Federal ADA)
Public PlacesGenerally treated as a petMust be allowed under ADA
AirlinesTreated as a pet (fees apply)Must be allowed as service animal
Housing Pet FeesNo pet fees for valid ESAsNo fees
Provider RelationshipNo mandatory waiting periodNot applicable
Clinical EvaluationRequired before issuing ESA letterNot applicable
Identification RequiredESA letter only (registrations NOT valid)No specific identification required by federal law
Guam-Specific RequirementsMust comply with Guam Entry Permit and quarantine requirementsMust comply with Guam animal import regulations

How to Get a Legitimate Guam ESA Letter (Step-by-Step)

Step 1: Work With a Guam-Licensed Mental Health Professional

Your ESA letter should be issued by a licensed mental health professional in Guam. This includes:

  • Licensed psychologists
  • Licensed clinical social workers (LCSW)
  • Licensed professional counselors (LPC)
  • Psychiatrists
  • Licensed marriage and family therapists
  • Other licensed mental health professionals (LMHP)

Important: While federal Fair Housing Act regulations don’t explicitly require your provider to be licensed in Guam specifically, working with a Guam-licensed mental health professional ensures your documentation is accepted by landlords and avoids potential challenges to your accommodation request.

If you recently moved to Guam and have an ESA letter from another state, it’s strongly recommended that you work with a Guam-licensed provider to ensure compliance and avoid landlord disputes.

Step 2: Complete Clinical Evaluation

Your mental health professional must:

  • Conduct a clinical evaluation of your mental or emotional disability
  • Assess how your condition substantially limits one or more major life activities
  • Determine whether an ESA is necessary to alleviate symptoms or provide therapeutic benefit
  • Establish knowledge of your disability through professional assessment

Step 3: Receive Your Guam ESA Letter

A legitimate Guam ESA letter should include:

  • Provider’s credentials: Full name, license type, license number, and jurisdiction of licensure (Guam)
  • Written on professional letterhead: Official letterhead with provider’s contact information
  • Statement of disability: Confirmation that you have a mental or emotional disability 
  • Therapeutic necessity: Explanation that the animal provides necessary support to alleviate disability-related symptoms
  • Clinical basis: Indication that the provider has conducted a clinical evaluation and has professional knowledge of your condition
  • Identification of the animal: Clear statement that a specific animal provides emotional support necessary for your wellbeing
  • Date and signature: Current date, provider’s signature, and contact information
  • Housing accommodation statement: Clear indication that the ESA is necessary as a reasonable accommodation in housing

Important: ESA Letter Validity and Renewal

ESA letters are typically valid for 12 months from the date of issuance. To maintain your ESA housing privileges in Guam, you should renew your letter annually before it expires. Landlords and property managers can request current, valid documentation, and an expired ESA letter may not be accepted as proof of your accommodation needs.

Step 4: Avoid Fake Registries, Fraudulent Documentation, and Online Scams

Federal Fair Housing Act protections are based on legitimate clinical evaluations, not purchased registrations or certificates. Red flags to watch out for:

  • Sites promising instant letters with no genuine evaluation
  • “Official” ESA registries or certification databases (these don’t exist and are NOT recognized under federal law)
  • Providers who never ask about your mental health history or therapeutic needs
  • Pre-printed certificates or ID cards sold as proof of ESA status
  • Any site suggesting you “just say you’re disabled” to qualify
  • Extremely cheap letters ($25-50) with no real consultation
  • Services that guarantee approval before any evaluation
  • Providers without valid Guam licenses
  • Any service claiming Guam has special ESA registration requirements

ESA registrations, certificates, ID cards, and vests are neither legally required nor recognized under Guam or federal law. The only valid documentation is an ESA letter from a licensed mental health professional who has conducted a clinical evaluation.

CertaPet connects you with licensed mental health professionals in Guam who conduct genuine clinical evaluations and provide documentation that meets federal Fair Housing Act standards.

Understanding Your Guam ESA Housing Rights

Guam ESAs are protected in housing by:

What Landlords, HOAs, and Property Managers Must Do

Under the Fair Housing Act, housing providers in Guam MUST:

  • Make reasonable accommodations for tenants with legitimate ESA documentation
  • Waive “no pets” policies for ESAs with valid documentation
  • Allow ESAs without charging pet rent, pet fees, or pet deposits
  • Consider ESA requests on an individualized basis, not based solely on breed or size
  • Provide written responses to accommodation requests
  • Evaluate requests and reliable supporting documentation that meets FHA standards

What You’re Still Responsible For

  • Animal care and supervision: Ensuring your ESA is well-behaved and under control
  • Property damage: Any actual damage beyond normal wear and tear caused by the animal
  • Vaccination compliance: Maintaining current vaccinations as required by Guam law
  • Licensing: Complying with local pet licensing requirements when applicable
  • Cleaning: Proper cleanup and sanitation related to your ESA
  • Nuisance prevention: Ensuring your ESA doesn’t create ongoing disturbances or safety threats

When Can a Guam Landlord Deny Your ESA Request?

Under federal Fair Housing Act guidelines, housing providers can deny an ESA request if:

  • Direct threat: The animal poses a direct threat to the health or safety of others that cannot be reduced through reasonable measures
  • Substantial property damage: The animal would cause substantial physical damage to the property that cannot be mitigated
  • Undue burden: Allowing the animal would impose an undue financial or administrative burden or fundamentally alter the housing program
  • Inadequate documentation: The documentation doesn’t meet FHA requirements or is fraudulent
  • No disability established: The documentation doesn’t establish both a disability and a disability-related need for the animal
  • Unlicensed provider: Documentation is not from a licensed healthcare provider with professional knowledge of your condition
  • Fake documentation: Documentation relies on generic registrations, online certificates, or identification cards
  • Vaccination non-compliance: You fail to provide proof of vaccination when requested
  • Small landlord exemption: Owner-occupied buildings with four or fewer units may be exempt from FHA requirements

If You Believe You’ve Been Wrongly Denied

You can file a complaint with:

  • HUD San Francisco Regional Office (serving Guam): (415) 489-6524 or toll-free (800) 347-3739
  • Guam Housing and Urban Renewal Authority (GHURA): (671) 477-9851
  • Online complaint: Visit HUD.gov and file electronically
  • Filing deadline: You have one year from the date of discrimination to file with HUD
  • Legal assistance: Guam legal services or fair housing organizations

Guam’s Animal Import and Quarantine Requirements for ESAs

CRITICAL INFORMATION FOR ESA OWNERS: Guam is a rabies-free territory, and ALL animals entering Guam, including emotional support animals, must comply with strict import and quarantine requirements. There are no exceptions for ESAs.

Entry Permit Requirements

ALL animals entering Guam REQUIRE an Entry Permit, including:

  • Service animals
  • Emotional support animals
  • Military working animals
  • Pets

Failure to obtain a valid Entry Permit can result in:

  • Imprisonment of the pet owner
  • Fine not to exceed $1,000
  • Extended 120-day commercial quarantine
  • Separation from your animal during quarantine

Quarantine Programs

Guam offers three quarantine options depending on compliance with pre-arrival requirements:

1. Five (5) Days or Less Quarantine:

  • Requires completion of all pre-arrival requirements including rabies titer testing
  • Must start process at least 120 days before arrival
  • Result of 0.5 I.U. or greater of rabies antibodies required
  • Post-arrival rabies blood test required
  • Failure to meet requirements results in 120-day quarantine

2. Calculated Quarantine (30 Days):

  • If the rabies titer is between 0.5 and 0.99 I.U.
  • Must complete remaining days to reach 120 total days since FAVN blood sample

3. Full 120-Day Commercial Quarantine:

  • Required if pre-arrival requirements not met
  • No laboratory testing required
  • Must show proof of at least two completed rabies vaccinations

Pre-Arrival Requirements

To qualify for the 5-day or less quarantine, your ESA must have:

Microchip:

  • Must be ISO-compliant 15-digit microchip
  • Implanted BEFORE rabies vaccination
  • Number must appear on all documentation

Rabies Vaccinations:

  • Minimum of two (2) lifetime rabies vaccinations
  • First vaccination after 3 months of age
  • Vaccinations must be at least 30 days apart
  • Current vaccination required at arrival

OIE-FAVN Rabies Titer Test:

  • Must be conducted 90-120 days before arrival
  • Result of 0.5 I.U. per milliliter or greater required
  • Sample held by laboratory for 120 days after arrival

Health Certificate:

  • Issued by licensed veterinarian within 10 days of travel
  • Must include microchip number and vaccination records

Entry Permit:

  • Application fee: $65.00 per pet (exact payment required)
  • Must be obtained before travel
  • Flight itinerary required
  • Quarantine reservation confirmation required

Important Considerations for ESA Owners

  • Plan ahead: Start the import process at least 120 days before moving to Guam
  • Budget for costs: Entry permits, veterinary certificates, quarantine fees, and testing can be expensive
  • Separation during quarantine: You may be separated from your ESA during the mandatory quarantine period
  • No exceptions: ESA status does not exempt your animal from quarantine requirements
  • Traveling through Hawaii: Many Guam-bound travelers fly through Hawaii, which has its own quarantine requirements

For complete information and application forms, contact:

Where Can You Take Your ESA in Guam? (Rules, Risks & Limits)

Public Places: Stores, Restaurants, Hotels

ESAs do NOT have public access rights under federal ADA law or Guam regulations like service dogs do. Businesses in Guam may treat ESAs as regular pets.

  • Hotels: May refuse ESAs unless they have pet-friendly policies (though many pet-friendly hotels may waive fees with ESA documentation)
  • Restaurants and cafés: Only service animals are allowed; ESAs can be excluded
  • Stores and shops: Business owners have complete discretion to allow or deny ESAs
  • Beaches and parks: Subject to individual property policies; ESAs treated as pets

Some establishments have pet-friendly policies. Guam has many pet-friendly beaches and parks where locals take their dogs for walks and outdoor play. In those cases, ESAs are allowed as pets, but it’s always best to call ahead.

Important: Misrepresenting an ESA as a service animal to gain public access is illegal and can result in legal consequences.

Air Travel

Current rules: Following revisions to the Air Carrier Access Act effective January 2021, airlines are no longer required to accept ESAs as service animals. This means:

  • Most major carriers (United, American, Delta, Southwest) now treat ESAs as regular pets
  • ESAs are subject to pet fees (typically $95-$150 each way)
  • Must travel in airline-approved carriers that fit under the seat (for small animals)
  • Size and breed restrictions may apply and vary by airline
  • Limited flights: Commercial airline service to Guam is currently limited; United Airlines is the primary carrier from the U.S. mainland (through Hawaii)
  • International travel: Additional requirements apply when traveling from Guam to other countries

Important for Guam residents: When traveling between Guam and the U.S. mainland, flights typically connect through Hawaii, which has its own strict animal quarantine requirements separate from Guam’s.

*Emotional Support Animals (ESAs) are no longer legally recognized for air travel under the Department of Transportation (DOT) regulations. As a result, CertaPet no longer offers ESA travel letters. However, you may qualify for a Psychiatric Service Dog (PSD), which is protected under the Air Carrier Access Act. A PSD can travel with you in the cabin without additional pet fees.

Public Transportation, Parks, and Beaches

Public transportation:

  • ESAs are not permitted on Guam’s public transit (Guam Regional Transit Authority) under service animal policies
  • Some systems may allow small ESAs in carriers under general pet policies
  • Always check with your specific transit provider

Guam parks and beaches:

  • Many public beaches in Guam are pet-friendly and welcome ESAs under regular pet policies
  • Leash laws apply (varies by municipality)
  • Clean-up laws are strictly enforced
  • Popular pet-friendly locations include various beach parks throughout the island
  • Always check specific park and beach regulations before visiting

Guam ESA Rules for the Workplace

ESAs do not have automatic workplace access rights in Guam. Under the federal Americans with Disabilities Act (ADA), employers must provide “reasonable accommodations” for employees with disabilities. However:

  • The ADA only protects service animals explicitly in the workplace, not ESAs in Guam
  • ESAs fall into a gray area for workplace accommodations
  • Employers have significant discretion in deciding whether to allow ESAs

Can You Request an ESA at Work in Guam?

Yes, you can request it, but your employer can legally deny it. Federal case law confirms that employees do not have a legal right to bring emotional support animals to work under the ADA.

Your request may be stronger if:

  • You have a documented mental health disability
  • A licensed Guam mental health professional confirms in writing that the ESA is necessary for you to perform your job duties
  • The animal is well-behaved and won’t disrupt operations
  • Your employer can accommodate the animal without undue hardship

Employers can refuse if:

  • The ESA would create safety concerns
  • The animal disrupts work operations or other employees
  • Other reasonable accommodations exist that don’t involve an animal
  • The accommodation causes undue financial or administrative hardship

Guam ESA Resources for Students in Campus Housing

University and College Housing

College and university housing in Guam falls under federal FHA jurisdiction, meaning ESAs are allowed as reasonable accommodations for students with disabilities. However, their access is limited to students’ living quarters. Animals can be removed from university housing if they pose health/safety threats or interfere with university programs.

Guam schools with campus housing:

University of Guam (UOG) (Mangilao):

  • ESAs permitted in University Housing through Disability Support Services accommodation process
  • Students must request accommodation through Enrollment Management & Student Success office
  • Must comply with federal Fair Housing Act standards and University ADA policies
  • Documentation from licensed mental health professional required (typed on official letterhead)
  • Must request accommodation in advance of bringing animal to campus
  • ESAs restricted to residential housing areas only (student residence halls)
  • ESAs NOT permitted in classrooms, laboratories, libraries, Field House, or other academic buildings
  • Animals must meet Guam vaccination and health requirements
  • Contact: Disability Support Services – Enrollment Management & Student Success

Note: The University of Guam is the primary institution in Guam offering on-campus housing. Guam Community College does not have residential housing facilities. Students should contact the Disability Support Services office well in advance (ideally 60 days before moving in) to initiate the accommodation request process.

Guam ESA Resources for Veterans

Federal Housing Protections for Guam Veterans

Veterans in Guam receive the same federal Fair Housing Act protections as all other residents. There are no special territorial ESA laws specifically for veterans, but veterans qualify for ESA housing accommodations just like any other Guam resident with a documented mental health condition.

VA Mental Health Services & ESA Letters

Guam veterans can access comprehensive mental health services through the VA Pacific Islands Health Care System, which serves Hawaii and other Pacific islands including Guam. VA mental health providers licensed in Guam can issue valid ESA letters that meet federal Fair Housing Act requirements.

Key points for Guam veterans:

  • Veterans receive the same FHA protections as all residents
  • VA-connected mental health providers licensed in Guam can issue valid ESA letters
  • ESAs are NOT allowed on VA facility grounds (service animals only per federal regulations)
  • Veterans can use VA mental health services to connect with Guam-licensed providers for ESA evaluations
  • No 30-day relationship requirement in Guam (unlike California, Iowa, Arkansas, Montana, or Louisiana)
  • ESAs entering Guam from outside the territory must comply with strict quarantine requirements

VA Pacific Islands Health Care System Facilities Serving Guam:

Guam VA Clinic (Main Facility)

  • Address: U.S. Naval Hospital Guam Campus, Agana Heights, Guam
  • Phone: Contact through VA Pacific Islands Health Care System at 1-800-214-1306
  • Services: Primary care, mental health services, telehealth services, women’s health including mental health treatment, caregiver support services
  • Mental Health Services: Individual therapy, psychiatric care, treatment for PTSD, depression, anxiety, substance abuse counseling
  • Coverage: Serves veterans throughout Guam and surrounding Pacific islands
  • New Expansion: A new 5,000 square foot VA Clinic Annex is under construction at 133 Route 3, Dededo, GU 96929 (adjacent to Guam Regional Medical Center), which will significantly expand mental health services for Guam veterans

Guam Vet Center

  • Location: Maite, Guam (near GOVGUAM Retirement Building)
  • Phone: Contact through VA Pacific Islands system
  • Services: Confidential counseling for PTSD, depression, MST (military sexual trauma), readjustment challenges, substance abuse, bereavement counseling
  • Special Programs: Individual and group counseling, couples and family counseling, women veteran support groups, peer support groups
  • Non-Medical Setting: Provides support in a confidential, non-medical community setting
  • No Cost: All services provided at no cost to eligible veterans and family members
  • Confidential Records: Records cannot be accessed by other VA offices, Department of Defense, or military units

Additional Support for Guam Veterans:

  • VA Telehealth Services: Remote visits with VA health care providers including mental health specialists
  • VA Emergency Triage Line: 1-800-214-1306, then press 3 (or 808-433-0600) for health-related guidance
  • Veterans Crisis Line: 988, then press 1 (24/7 support available)
  • VA Pacific Islands Health Care System: Serves approximately 50,000 veterans throughout Hawaii and Pacific islands including Guam

Important Note: Due to Guam’s remote location in the Pacific, veterans may experience some delays in accessing certain specialized services. The VA Pacific Islands Health Care System is actively working to expand services through the new clinic annex and telehealth capabilities.

Frequently Asked Questions
How long will it take to get an ESA letter in Guam?

Unlike states such as California, Iowa, Arkansas, Montana, and Louisiana, Guam does NOT have a mandatory 30-day waiting period. You can receive your Guam ESA letter as soon as a licensed mental health professional conducts a clinical evaluation and determines you have a disability and disability-related need for an ESA. This can potentially happen in a single consultation, though some providers may require follow-up appointments. CertaPet typically delivers ESA letters within 24-48 hours after approval.

Can my landlord charge pet rent or a pet deposit for my ESA?

No. Under the federal Fair Housing Act, pet rent, pet fees, and pet deposits must be waived for ESAs in Guam. However, you’re still financially responsible for actual physical damage beyond normal wear and tear caused by your animal. Your landlord can also require proof of current vaccinations as mandated by Guam animal health regulations.

Are there breed or weight limits for ESAs in Guam housing?

Under the Fair Housing Act, breed and weight limits that apply to pets generally cannot be applied to ESAs. Housing decisions must be individualized to the specific animal, not based on breed stereotypes or blanket policies. However, landlords may consider whether a specific animal poses a direct threat to health and safety that cannot be mitigated.

Can my landlord deny my ESA in Guam?

Yes, but only under specific circumstances:

  • Your documentation doesn’t meet FHA requirements or is fraudulent
  • Your documentation relies on generic registrations, online certificates, or ID cards
  • You don’t meet disability requirements under FHA
  • You refuse to provide valid documentation when legitimately requested
  • Your documentation is from an unlicensed provider or lacks clinical basis
  • The animal poses a direct threat that can’t be mitigated
  • The animal would cause substantial property damage that cannot be reduced
  • You fail to provide proof of vaccination as required by Guam law
  • Your landlord qualifies for small landlord exemption (owner-occupied, four or fewer units)
Do I have to register my ESA in Guam or get a special ID?

No. There is no official Guam ESA registry, and federal law doesn’t require ESA registration. Generic ESA registrations, online certificates, and identification cards are NOT legally recognized and hold NO legal value under the Fair Housing Act. The only required documentation is a legitimate ESA letter from a licensed mental health professional (ideally licensed in Guam) who has conducted a clinical evaluation of your disability and need for the animal.

Does my ESA need special training in Guam?

No specific task training is required for ESAs (that’s what distinguishes ESAs from service animals). However, your ESA must:

  • Be under your control at all times
  • Be housebroken
  • Not be aggressive or pose a safety threat
  • Not cause ongoing disturbances that fundamentally alter the housing environment
  • Comply with reasonable rules applicable to all residents
  • Meet vaccination requirements as mandated by Guam Department of Agriculture
  • Comply with local licensing requirements when applicable
Can I have more than one ESA in Guam?

Yes. Federal HUD guidance acknowledges that some individuals may need more than one assistance animal. Each ESA should be accompanied by documentation from a licensed mental health professional explaining the disability-related need for that specific animal. Landlords can consider whether multiple ESAs would create an undue burden, pose safety concerns, or cause significant property damage, but cannot deny solely based on the number of animals.

Does my clinician need to be licensed in Guam?

While federal Fair Housing Act regulations don’t explicitly require your provider to be licensed in Guam specifically, it is strongly recommended that you work with a Guam-licensed mental health professional. This ensures your documentation is accepted by landlords without challenge and demonstrates that your provider has appropriate jurisdiction to practice in Guam. Out-of-state ESA letters may face additional scrutiny from Guam housing providers.

What are Guam's requirements for bringing an ESA to the island?

If you’re bringing an ESA to Guam from outside the territory, you must comply with Guam’s strict import and quarantine requirements:

  • Entry Permit: Required for ALL animals ($65.00 fee) – apply well in advance
  • Quarantine: 5 days to 120 days depending on compliance with pre-arrival requirements
  • Microchip: ISO-compliant 15-digit microchip implanted before rabies vaccination
  • Rabies vaccinations: Minimum of two lifetime vaccinations, current at arrival
  • OIE-FAVN titer test: Blood test showing 0.5 I.U. or greater, conducted 90-120 days before arrival
  • Health certificate: From licensed veterinarian within 10 days of travel
  • Failure to comply: Can result in fines up to $1,000, imprisonment, and/or 120-day quarantine
  • Start early: Begin the process at least 120 days before moving to Guam
What happens if I use fraudulent ESA documentation in Guam?

Providing fraudulent ESA documentation can have serious consequences:

  • Housing denial or revocation: Landlords can deny or revoke housing accommodations
  • Potential eviction: If fraud is discovered after move-in
  • Financial liability: Liability for any fees or damages
  • Loss of credibility: Damage to future accommodation requests
  • Legal consequences: Misrepresenting an ESA as a service animal for public access is illegal
  • Violation of professional standards: Healthcare providers issuing fraudulent ESA letters may face licensing board discipline
Can I fly with my ESA to or from Guam?

No. As of January 2021, airlines are no longer required to accommodate ESAs under the Air Carrier Access Act. ESAs are now treated as regular pets and subject to:

  • Standard pet fees (typically $95-$150 each way)
  • Size restrictions and carrier requirements
  • Limited availability (some flights don’t allow pets in cabin)
  • Airline-specific pet policies

Only psychiatric service dogs (PSDs) that are individually trained to perform disability-related tasks qualify for in-cabin accommodations without fees. Note that flights to/from Guam often have limited pet capacity, so book well in advance.

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