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Get the free E 3 Disability Disclosure Authorization - Release of Psychological Psychiatric or Me...

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FRESNO COUNTY EMPLOYEES RETIREMENT ASSOCIATION 1111 H Street Fresno, California 93721 Phone (559) 4570681 Fax (559) 4570318 AUTHORIZATION FOR RELEASE OF PSYCHOLOGICAL, PSYCHIATRIC, OR MENTAL HEALTH
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Begin by carefully reading the instructions provided with the e 3 disability disclosure form.
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Start by filling out your personal information, such as your name, address, and contact details.
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Next, specify the type of disability you have and provide any relevant documentation or medical records, if required.
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Describe how your disability affects your ability to perform certain tasks or activities, providing specific examples if possible.
05
If applicable, mention any accommodations or modifications you require in the workplace to perform your job effectively.
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Review the completed disability disclosure form for accuracy and make any necessary corrections before submitting it.

Who needs e 3 disability disclosure:

01
Individuals with disabilities who are seeking employment or already employed and require reasonable accommodations.
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Job applicants or employees who need to disclose their disability status as part of the application or onboarding process.
03
Employers who need to collect information about the disabilities of their employees to comply with legal requirements or provide necessary accommodations.
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