Self-Identification Form

State:
Multi-State
Control #:
US-AHI-114
Format:
Word; 
Rich Text
Instant download

The Self-Identification Form is a vital document designed for voluntary inclusion in a company's affirmative action program. This form invites applicants to disclose their status as individuals with disabilities, special disabled veterans, or Vietnam-era veterans, facilitating equal employment opportunities. Unlike standard job applications, this form ensures that companies meet their legal obligations while promoting diversity and inclusion in the workplace.

  • Identification of the applicant's status regarding disabilities or veteran status.
  • Confidentiality assurance for the provided information.
  • Options to specify reasonable accommodations for the applicant's needs.
  • Clear definitions of terms such as "individual with a disability" and "special disabled veteran."
  • Flexibility for applicants to self-identify voluntarily without negative consequences.
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This form should be used by individuals applying for jobs at companies that have affirmative action programs. It is particularly important when applying to organizations that are government contractors or are obligated under laws such as the Rehabilitation Act or the Vietnam Era Veterans' Readjustment Assistance Act. Completing this form may enhance the applicant's chances of being considered for suitable employment opportunities.

This form is intended for:

  • Individuals with disabilities who wish to self-identify.
  • Special disabled veterans seeking employment.
  • Vietnam-era veterans applying for job positions.
  • Any applicant interested in participating in a company’s affirmative action program.

To complete the Self-Identification Form, follow these steps:

  • Provide your personal information, including your name and contact details.
  • Indicate your status as an individual with a disability, special disabled veteran, or veteran of the Vietnam era by checking the appropriate boxes.
  • Describe any reasonable accommodations you may need to perform your job effectively.
  • Review the confidentiality statement and ensure you understand it before submission.
  • Sign and date the form to confirm the accuracy of the information provided.

Notarization requirements for this form

This form does not typically require notarization to be legally valid. However, some jurisdictions or document types may still require it. US Legal Forms provides secure online notarization powered by Notarize, available 24/7 for added convenience.

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If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.

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We protect your documents and personal data by following strict security and privacy standards.

  • Failing to check the appropriate boxes indicating your status.
  • Not providing necessary details regarding reasonable accommodations.
  • Misunderstanding the confidentiality aspects of the form.
  • Rushing through the form without careful review of information.
  • Easy online completion and editing for accuracy and convenience.
  • Confidential handling of sensitive information, ensuring privacy.
  • Compliance with federal affirmative action requirements.
  • Increased awareness and support for applicants with disabilities and veterans.
  • This form supports equal employment opportunities for individuals with disabilities and veterans.
  • Participation is voluntary, and refusal to fill the form does not affect employment chances negatively.
  • Organizations must handle the information confidentially and use it to facilitate reasonable accommodations.

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FAQ

On Friday Office of Federal Contractor Compliance Programs (OFCCP) released an updated Voluntary Self-Identification of Disability Form (CC-305).Covered federal contractors are required to invite all applicants and new hires to self-identify as an individual with a disability using this form.

The self-identification of disability form is a voluntary form, so each individual may choose to disclose his or her disability status, or not.The form also includes a statement that invites individuals to request accommodation to apply for a job or perform job duties.

If an employee declines to self-identify his or her race and/or ethnicity, the reporting employer may use employment records, personal knowledge, or visual identification.

English Language Learners Definition of self-identification : the feeling that you share and understand the problems or experiences of someone else. : the act of identifying yourself as a particular kind of person.

Self-Identification Form is to comply with federal government record-keeping and reporting. requirements. Periodic reports are made to the government on the following information.The. data you provide on this form will be kept confidential and used solely for analytical and reporting requirement purposes.

The self-identification of disability form is a voluntary form, so each individual may choose to disclose his or her disability status, or not.The form also includes a statement that invites individuals to request accommodation to apply for a job or perform job duties.

Self-identification is when an employee discloses their diversity identity to their employer, including race/ethnicity, LGBTQ, veteran status, or disability status.

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Self-Identification Form