Procedures for Providing Personal Assistance Services
This document outlines the procedures for providing personal assistance services for individuals with disabilities. It includes guidelines to ensure compliance with the EEOC's affirmative action obligations. This is crucial for federal agencies to promote inclusivity in the workplace.
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How do I fill this out?
Filling out this document involves understanding the requirements set forth for personal assistance services. Begin by gathering any necessary documentation related to your disability and needs. Then, complete the form by providing accurate information and details about your assistance requirements.

How to fill out the Procedures for Providing Personal Assistance Services?
1
Review the guidelines and requirements outlined in the document.
2
Gather documentation regarding your personal assistance needs.
3
Complete the form with accurate and relevant details.
4
Submit the form to the appropriate Disability Program Manager.
5
Await confirmation and follow any further instructions provided.
Who needs the Procedures for Providing Personal Assistance Services?
1
Individuals with targeted disabilities seeking assistance.
2
Human resource departments managing employee accommodations.
3
Federal agency managers implementing compliance with EEOC rules.
4
Disability advocates assisting individuals in obtaining services.
5
Employees teleworking who require personal assistance.
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What are the instructions for submitting this form?
To submit this form, you need to ensure all fields are appropriately filled out. Send the completed form to the Disability Program Manager at DisabilityProgramManager@eeoc.gov. Alternatively, you can submit it via fax at (202) 555-1234 or mail it to the EEOC office at 123 Main Street, Washington, D.C. 20001.
What are the important dates for this form in 2024 and 2025?
The relevant dates for this form are as follows: The EEOC issued its final rule on January 3, 2017, requiring personal assistance services, which became effective on January 3, 2018.

What is the purpose of this form?
The purpose of this form is to establish clear procedures for providing personal assistance services to employees with disabilities. It aims to ensure compliance with Section 501 of the Rehabilitation Act, promoting an inclusive and equitable workplace. This form is vital for federal agencies to fulfill their affirmative action obligations as outlined in EEOC regulations.

Tell me about this form and its components and fields line-by-line.

- 1. Employee Name: Enter the full name of the employee requiring assistance.
- 2. Disability Type: Specify the nature of the disability.
- 3. Required Assistance: Describe the personal assistance services needed.
- 4. Contact Information: Provide contact details for follow-up.
- 5. Manager Approval: Signature field for manager's approval.
What happens if I fail to submit this form?
If the form is not submitted, employees may not receive the necessary personal assistance services. This could lead to challenges in performing essential job functions and hinder opportunities for workplace advancement. It's imperative to submit the form in a timely manner to avoid such issues.
- Lack of Support: Without submission, employees may struggle without adequate support.
- Impact on Job Performance: Failure to provide assistance can negatively affect job performance.
- Compliance Issues: Not submitting the form may lead to non-compliance with federal regulations.
How do I know when to use this form?

- 1. Requesting Personal Assistance: Utilize the form when requesting assistance services for daily activities.
- 2. Telework Accommodations: Complete this form to secure assistance while teleworking.
- 3. Traveling for Work: It serves as a request for assistance during job-related travel.
Frequently Asked Questions
How can I access this form?
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What types of changes can I make to the PDF?
You can edit text, add annotations, and sign the document.
Can I save the edited PDF on the site?
Currently, you can edit and download your PDF, but cannot save it on the site.
Is there a way to print the edited PDF?
Yes, you can easily print your PDF directly after editing.
What should I do if I need assistance with the form?
If you need help, contact the Disability Program Manager as provided in the document.
Can I share this PDF with others?
Absolutely! You can share the PDF link or email it directly from our platform.
How do I know if I'm eligible for personal assistance services?
Eligibility is determined by your disability status and the requirements outlined in the EEOC guidelines.
What is the importance of personal assistance services?
These services help individuals with disabilities perform daily activities essential for their roles.
How quickly will my edits be reflected?
Your edits will be immediately available once you save your changes.
What if I need to make further changes later?
You can revisit the PDF editor anytime to make additional changes.