Disability Self-Identification

January 2, 2024

In an effort to comply with federal equal employment opportunity and affirmative action regulations, we invite you to complete the disability self-identification form, which has been recently updated by the U.S. Department of Labor’s Federal Contract Compliance Program’s (OFCCP).

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. Your self-identification information is used for aggregative reporting purposes only.

Completing this form is strictly voluntary and the information you provide will be kept confidential. Failure to provide the information will not subject you to any adverse personnel decision or action. If you wish to disclose or update your disability status, please click the above link which will direct you to the AdobeSign form which you can submit electronically.

Because an individual’s disability status may change in the future, you may voluntarily self-identify at any time. To update your disability status, you can access the disability self-identification form from our Leave and Disability webpage

We appreciate your cooperation in completing the self-identification form now and/or in the future. If you have a disability and need assistance in completing the self-identification form, please contact Human Resources at ext. 3626

If you have a disability and need a reasonable accommodation in order to perform the essential functions of your job, we encourage you to contact Human Resources to request an accommodation and to begin the interactive process to determine what, if any, accommodation(s) could be provided.

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