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Office of Federal Contract Compliance Programs
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Voluntary Self‐Identification of Disability Form

NOTICE: OMB has renewed the self‐id form with an expiration date of January 31, 2020. Federal contractors must either download the renewed form(s) below or update their electronic version(s) of the form to reflect the new date.

Please Note: The voluntary self‐identification form is an OMB‐approved form and, as such, its content cannot be altered or changed.



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In order to "view" the PDF versions you will need what is referred to as a "reader". The reader is software that converts PDF files to viewable documents that will appear on your monitor. There are several software publishers that provide free reader software for downloading. For your convenience we have provided a link to the free downloadable software provided by Adobe Systems Incorporated . This link is in no way an endorsement of either Adobe Systems Incorporated or Adobe Software.