932 TDD: (561) 355-1517 http://www.pbcgov.com/equalopportunity In order to process and further investigate your complaint of employment discrimination, we need your help in answering each of the following questions. These questions relate to how they apply to you as a person who has a disability and who is filing a claim of discrimination under Palm Beach County s Equal Employment Ordinance and the Americans with Disabilities Act (ADA). (These questions also apply to a disabled person whom y.
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How to fill out the FL Disability Questionnaire (Employment Cases) - Palm Beach County online
This guide provides step-by-step instructions on how to effectively complete the FL Disability Questionnaire for employment cases in Palm Beach County. It is designed to assist individuals with disabilities in filing a discrimination claim in a clear and supportive manner.
Follow the steps to fill out the FL Disability Questionnaire online:
- Press the ‘Get Form’ button to access the questionnaire and open it in your editor.
- Provide your personal information. Fill in your first, middle, and last names at the top of the form. Next, include your residential address, city, county, state, and zip code.
- Enter your daytime and evening telephone numbers with the area codes. This information is important for any follow-up communication.
- In the section regarding your disability, indicate whether you or the person you are assisting has a physical or mental impairment by selecting ‘Yes’ or ‘No.’
- Describe the specific physical or mental impairment in detail in the provided space. Be as clear and descriptive as possible.
- Answer whether you are substantially limited in one or more major life activities, and identify which activities are affected by checking the applicable boxes.
- Estimate the percentage of your job that requires the activities identified in the prior question by selecting the appropriate range.
- Indicate whether your disability is the result of a work-related injury and its permanence.
- Detail your job title and outline your job duties and responsibilities as per the form.
- State whether you believe your employer is aware of your disability and if you have requested any accommodations.
- If you requested accommodations, specify what was requested, the method of your request (written or verbal), and who it was directed to.
- Describe the employer’s response to your accommodation request.
- Provide your suggestions on what your employer can do to help you perform your job effectively.
- Add any additional comments as necessary, ensuring not to include medical records.
- Finally, read and verify your responses, and then sign and date the form to declare that the information provided is true and correct.
Complete your FL Disability Questionnaire online to ensure your rights are protected.
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How do you ask if someone has a disability?
Using matter-of-fact language is the best way to handle it. Ask about the specific thing (like "May I ask about your ADHD?") or use the word "disability." Questions like "What's wrong with you?" can come off as insensitive. Questions like "May I ask what your disability is?" is much more polite and neutral in tone.
How do you ask an employee if they have a disability?
The Responsibilities of the Employer Generally, the only question about your disability that a potential employer is allowed to ask is: “Can you perform the essential functions of your job with or without reasonable accommodation?”
How do you ask someone if they need disability accommodations?
Simply ask, How can I help? Asking this simple question can be a strategic way of creating a safe space for disability-disclosure and can be useful when accommodation has not been requested, but there is a known impairment and apparent limitations in performing job duties or meeting performance or conduct standards.
Do employers have to ask if you have a disability?
If you are applying for a job, an employer cannot ask you if you are disabled or ask about the nature or severity of your disability. An employer can ask if you can perform the duties of the job with or without reasonable accommodation.
Can you ask about disability status?
It is your right to choose whether or not you disclose your disability. Disclosing your disability means you are telling your employer – or potential employer – that you have a disability. Your employer does not have the right to ask you about your disability during the hiring process before a job offer is made.
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