Arizona Employee Self-Identification Form

State:
Multi-State
Control #:
US-463EM
Format:
Word
Instant download

Description

This form provides an employee the opportunity to identify racial-ethnic heritage information. However, completing this form is optional.

How to fill out Employee Self-Identification Form?

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FAQ

Voluntary Self-Identification of Protected Veteran Status VEVRAA requires Government contractors to take affirmative action to employ and advance in employment protected veterans.

The IRS IP PIN (Identity Protection, Personal Identification Number) is a 6-digit number assigned to only eligible taxpayers to help prevent the misuse of their Social Security number on fraudulent federal income tax returns.

You may voluntarily self-identify as having a disability on this form without fear of any punishment because you did not identify as having a disability earlier. .

You are considered to have a disability if you have a physical or mental impairment or medical condition that substantially limits a major life activity, or if you have a history or record of such an impairment or medical condition.

The self-identification of disability form is a voluntary form, so each individual may choose to disclose his or her disability status, or not. Federal contractors are required to use the form provided by the Office of Federal Contract Compliance Programs (OFCCP) for this purpose.

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.

Federal contractors and subcontractors must use a form developed by OFCCP to survey for disability - Voluntary Self-identification of Disability Form (Form CC 305-OMB Control Number 1250-0005). The agency mandates the use of this form to survey disability status at both pre and post-offer stages.

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.

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Arizona Employee Self-Identification Form