Assuming things haven't changed in the last couple of years, it is pretty easy:
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From an SF Chronicle article: Just about all it takes to get an assistance tag in California is a note from a doctor and a signed statement from the owner that the dog has been specially trained. That training, however, can be done by the owner and can be as simple as teaching the dog to wag a tail and lick a face if that's what it takes to make someone with a diagnosed depression feel better.
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I've had 3 coworkers I knew personally who did this just to get around "no dog" policies in their buildings (they were pretty open about their true motivations). Slimy, in my opinion, but they had no problem with the bureaucracy in trying to do it.
Of course, whether DCL would recognize it is a completely different thing.