Self-Identification of Disability Form Instructions
This file provides essential information for self-identifying disabilities within the Federal government. It outlines the importance of providing accurate disability status for effective hiring and advancement. Follow the guidelines to properly complete and submit the form.
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How do I fill this out?
Filling out this form is crucial for accurate self-identification of disabilities. Ensure all requested information is provided in detail. Review your entries carefully before submission to facilitate effective processing.

How to fill out the Self-Identification of Disability Form Instructions?
1
Read the instructions and privacy statements carefully.
2
Complete the required fields with accurate personal information.
3
Select your disability status from the provided options.
4
Review your form for accuracy and completeness.
5
Submit the form to the designated agency or department.
Who needs the Self-Identification of Disability Form Instructions?
1
Federal employees who are required to disclose their disability status for program eligibility.
2
Individuals seeking employment with the Federal government who need to identify any disabilities.
3
Agencies looking to analyze disability statistics for better hiring practices.
4
Human resources personnel managing employee records and compliance.
5
Assistive technology specialists needing accurate data on individuals with disabilities.
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What are the instructions for submitting this form?
To submit this form, ensure that all information is filled out correctly. You may send it via email to your designated HR department or fax it to the provided number. Alternatively, if your agency has an online submission system, you can upload the document directly through their platform.
What are the important dates for this form in 2024 and 2025?
Important dates for submitting this form in 2024 are generally aligned with federal employment cycles, including new hiring periods and annual reviews. Specific deadlines may vary by agency; therefore, it is advisable to consult your HR department for the exact timeline. The same applies for 2025, where continuous updates will be provided.

What is the purpose of this form?
The purpose of this form is to facilitate the accurate self-identification of disabilities among federal employees and applicants. It assists agencies in implementing the Rehabilitation Act of 1973, ensuring that individuals with disabilities are appropriately recognized and supported. Ultimately, the information collected serves to enhance equal employment opportunities and compliance within the federal workforce.

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

- 1. Name: Enter your full name including last, first, and middle initial.
- 2. Date of Birth: Provide your birth date in MM/YYYY format.
- 3. Social Security Number: Requested for identification purposes.
- 4. Disability Status: Select your disability condition from the provided options.
What happens if I fail to submit this form?
If the form is not submitted, individuals may miss crucial benefits and accommodations designed to assist them in the workplace. Also, agencies might have an incomplete representation of their workforce diversity, affecting inclusive practices.
- Loss of Employment Opportunities: Not identifying a disability may hinder access to relevant programs and support.
- Non-Compliance Issues: Failure to submit could result in unrecognized compliance with federal hiring mandates.
- Inaccurate Reporting Data: Absence of submitted forms impacts the accuracy of disability statistics collected.
How do I know when to use this form?

- 1. Job Applications: Fill out this form when applying for federal job positions requiring disability identification.
- 2. Annual Reports: Use the form to provide annual updates to your disability status for agency records.
- 3. Eligibility for Programs: Complete the form to gain access to specific programs and accommodations.
Frequently Asked Questions
What is the purpose of the Disability Form?
This form is used for self-identification of disabilities for federal employment and analysis.
How do I fill out the Disability Form?
Ensure you follow the instructions carefully, completing all required fields accurately.
Can I edit the PDF on PrintFriendly?
Yes, you can easily edit the PDF using our editing tools on PrintFriendly.
What happens if I don't fill out the form?
Failure to submit the form may result in missed opportunities for support and accommodations.
How do I sign the PDF?
Select the 'Sign' option to add your signature electronically.
Who needs this form?
Federal employees, job applicants, and HR departments require this form for various compliance needs.
Can I share the completed form?
Absolutely, utilize the 'Share' feature to distribute your document.
Is my information kept confidential?
Yes, your information is handled with strict confidentiality as stipulated by federal guidelines.
What if I have a disability not listed on the form?
You can indicate that your disability is not listed and provide details as necessary.
What are the important dates for submitting this form?
Ensure submissions comply with relevant federal deadlines to avoid delays in processing.