Employee Self-Identification Form

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

What is this form?

The Employee Self-Identification Form is a document that allows employees to voluntarily provide information about their racial and ethnic heritage, as well as their veteran status. This form aims to assist employers in fulfilling federal reporting obligations related to affirmative action. Unlike other employment forms, completion of this form is optional, giving employees the choice to disclose their background without any repercussions for choosing not to participate.

Key components of this form

  • Sex/Gender: Employees select their gender from available options.
  • Racial/Ethnic Heritage: A section for employees to identify their racial or ethnic background, with specific categories defined.
  • Veterans Status: Options for employees to indicate their veteran status, including multiple categories.
  • Disability Status: A reference to the definition of an individual with a disability under the Rehabilitation Act.

When this form is needed

This form is used during the hiring process or by current employees wishing to voluntarily disclose their racial-ethnic heritage and veteran status. Employers may request this information to comply with federal affirmative action regulations, but participation remains optional for employees.

Who should use this form

  • Current employees of organizations required to complete affirmative action records.
  • New hires asked for voluntary self-identification of their background.
  • Organizations seeking to ensure compliance with federal reporting obligations.

How to prepare this document

  • Indicate your sex/gender by checking the appropriate box.
  • Select your racial/ethnic heritage by checking only one of the specified categories.
  • Mark your veteran status by selecting applicable options.
  • Provide any additional information as necessary regarding disability status, if applicable.
  • Ensure that your responses are accurate and reflect your identity, as this information is used for reporting purposes.

Notarization requirements for this form

Notarization is generally not required for this form. However, certain states or situations might demand it. You can complete notarization online through US Legal Forms, powered by Notarize, using a verified video call available anytime.

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Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.

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Sign and collect signatures with our SignNow integration. Send to multiple recipients, set reminders, and more. Go Premium to unlock E-Sign.

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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.

Form selector

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

Common mistakes to avoid

  • Not checking any box for sex/gender or racial/ethnic heritage.
  • Trying to select more than one category for racial/ethnic heritage.
  • Forgetting to mark any applicable veteran status options.

Why complete this form online

  • Convenient to access and complete at your own pace.
  • Editable fields allow you to update information as needed.
  • Reliable storage of form submissions helps with compliance and record-keeping.

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FAQ

You can file a formal job discrimination complaint with the EEOC whenever you believe you are: Being treated unfairly on the job because of your race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, disability, age (age 40 or older) or genetic information; or.

Employers who have at least 100 employees and federal contractors who have at least 50 employees are required to complete and submit an EEO-1 Report (a government form that requests information about employees' job categories, ethnicity, race, and gender) to EEOC and the U.S. Department of Labor every year.

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 policy should apply to: all employees, including those who work full-time, part-time, casually or on a temporary basis; employees at work, at work-related events or company functions or activities happening outside of work; and. all employment processes, including hiring, training, and dismissing employees.

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 employer is subject to certain governmental recordkeeping and reporting requirements for the administration of civil rights laws and regulations. In order to comply with these laws, the employer invites employees to voluntarily self-identify their race and ethnicity.

Utilize employee engagement surveys and communicate the definition of each diversity pillar you are seeking. Promote diversity, equity and inclusion within your organization and include the message on employee engagement or stay surveys.

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

An Employment Information Report (EEO1), also known as a Standard Form 100, is filed annually with the EEO-1 Joint Reporting Committee and provides a demographic breakdown of the employer's work force by race and gender. Standard Form 100 must be filed by covered Federal contractors who: Have 50 or more employees, and.

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Employee Self-Identification Form