Voluntary Self Identification Of Disability Form Cc 305 - Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Bruce pitman center, room 41 mail: Ofccp revised the form to update the preferred language for disabilities and to include additional examples of disabilities. Disabilities include, but are not limited to: Web please return this form to the office of workforce diversity. Web 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. Why are you being asked to complete this form? Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities.
Disabilities include, but are not limited to: Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Web please return this form to the office of workforce diversity. Bruce pitman center, room 41 mail: Ofccp revised the form to update the preferred language for disabilities and to include additional examples of disabilities. Why are you being asked to complete this form? Web 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. Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities.