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Form CC305
Page 1 of 1Name: Rob With
Employee ID: 4094Voluntary SelfIdentification of DisabilityDate:OMB Control Number 12500005
Expires 05/31/20238/20/20(if applicable)
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How to fill out voluntary self-identification of disability

How to fill out voluntary self-identification of disability
01
To fill out voluntary self-identification of disability, follow these steps:
02
Read the instructions carefully before proceeding.
03
Provide your personal information, such as your name, contact details, and any other relevant information requested in the form.
04
Indicate whether you have a disability or not by selecting the appropriate checkbox or option.
05
If you have a disability, provide any additional information or details that may be required, such as the nature of your disability or any accommodations you may require.
06
Double-check all the information you have provided and make sure it is accurate and up-to-date.
07
Submit the form as instructed by the organization or employer requesting the self-identification.
08
If you have any questions or concerns, don't hesitate to reach out to the relevant contact person mentioned in the instructions or form.
Who needs voluntary self-identification of disability?
01
Voluntary self-identification of disability is typically required by employers or organizations that are subject to certain laws or regulations related to disability inclusion and equal employment opportunities.
02
Some examples of who may need voluntary self-identification of disability include:
03
- Federal contractors or subcontractors who are covered by Section 503 of the Rehabilitation Act of 1973.
04
- Companies or organizations that receive federal funding or grants under the Workforce Innovation and Opportunity Act.
05
- Employers who are subject to the Americans with Disabilities Act (ADA) or other state or local laws mandating disability inclusion.
06
It is important to note that voluntary self-identification of disability is generally intended to gather statistical data and promote diversity and inclusion efforts. It should not be used to discriminate against individuals based on their disabilities.
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What is voluntary self-identification of disability?
Voluntary self-identification of disability is a process where individuals can disclose if they have a disability, which may assist organizations in understanding the demographic makeup of their workforce and in complying with legal requirements.
Who is required to file voluntary self-identification of disability?
Individuals applying for or currently holding a job with employers who are subject to federal regulations and affirmative action requirements are encouraged, but not required, to file voluntary self-identification of disability.
How to fill out voluntary self-identification of disability?
To fill out the voluntary self-identification of disability form, individuals should follow the instructions provided by the employer or agency, typically involving checking a box or answering specific questions about their disability status on the designated form.
What is the purpose of voluntary self-identification of disability?
The purpose of voluntary self-identification of disability is to promote inclusion, equal employment opportunities, and to help employers measure their effectiveness in recruiting and employing individuals with disabilities.
What information must be reported on voluntary self-identification of disability?
Individuals generally need to provide their name, contact information, and the nature of their disability, if applicable, while ensuring their personal information remains confidential.
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