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Office of the State Americans with Disabilities Act Coordinator (OS ADAC)Rev. 6/2022VOLUNTARY SELFIDENTIFICATION OF DISABILITY FORM Employee Name:Personnel #: Why are you being asked to complete this
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How to fill out voluntary self-identify forms
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Review the voluntary self-identify form to understand the information being requested.
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Who needs voluntary self-identify forms?
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Employers who are subject to federal regulations regarding affirmative action and equal employment opportunity may require employees to fill out voluntary self-identify forms.
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What is voluntary self-identify forms?
Voluntary self-identify forms are forms that allow individuals to disclose certain characteristics about themselves on a voluntary basis.
Who is required to file voluntary self-identify forms?
No one is required to file voluntary self-identify forms. It is up to individual discretion.
How to fill out voluntary self-identify forms?
Voluntary self-identify forms can be filled out by providing the requested information accurately and honestly.
What is the purpose of voluntary self-identify forms?
The purpose of voluntary self-identify forms is to gather data on the diversity and demographics of a group or organization.
What information must be reported on voluntary self-identify forms?
The information reported on voluntary self-identify forms may include race, ethnicity, gender, disability status, and veteran status, among others.
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