Does ESA Letter Have to Be Renewed March 11th, 2021 Yes. ESA letters are valid for one year. The recommended practice is to renew your ESA annually to avoid the inconvenience of being denied housing or boarding an aircraft due to outdated documentation. Related Posts Do Dogs Forget People? How Long After an ESA Medical Assessment Do I Get a Letter? Dog Breed DNA Tests: Which Tests Are Best? How to Get an ESA Letter in California [therapypet_step1_form show_in_mobile="1"]