Form Cc 305 – Fill Out and Use This PDF

The Cc 305 form, also known as the Voluntary Self-Identification of Disability Form, plays a pivotal role in promoting equality and opportunity in the workplace. By inviting individuals to self-identify any disabilities, businesses that engage with the government can ensure a diverse and inclusive work environment. Filling out this form is entirely voluntary but crucial for implementing fair employment practices.

To take a step towards an inclusive workplace, consider filling out the form by clicking the button below.

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Form Cc 305 PDF Details

In today’s professional landscape, businesses that collaborate with the government are mandated to foster inclusive practices, particularly by actively seeking, employing, and providing equal opportunities to individuals with disabilities. This aligns with the broader societal commitment to embrace diversity and ensure everyone has a fair chance at employment and advancement, regardless of physical or mental disabilities. The Voluntary Self-Identification of Disability Form CC-305 emerges as a crucial tool in this endeavor. Crafted under the jurisdiction of the Office of Management and Budget (OMB) with a control number of 1250-0005 and an expiry date of January 31, 2017, this form serves a dual purpose. It allows applicants and employees to disclose any disabilities voluntarily, offering them a path to request reasonable accommodations without fear of discrimination or reprisal. The form delves into various disabilities, ranging from blindness and autism to diabetes and major depression, encouraging individuals to identify their status confidentially. Furthermore, it highlights the legal backdrop, including the Rehabilitation Act of 1973, as amended, emphasizing the employer's obligation to provide necessary accommodations and underscoring the form's significance as a measure of the employer's adherence to federal inclusion mandates. As such, the CC-305 not only facilitates a more inclusive hiring process but also reinforces the ongoing commitment to equality and support for individuals with disabilities in the workplace.

Question	Answer
Form Name	Form Cc 305
Form Length	2 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	30 sec
Other names	cc 305, cc 305 form, disability form cc 305, omb control number 1250 0005

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Voluntary Self-Identification of Disability

Form CC-305

OMB Control Number 1250-0005

Expires 1/31/2017

Page 1 of 2

Why are you being asked to complete this form?

Because we do business with the government, we must reach out to, hire, and provide equal opportunity to qualified people with disabilities.i To help us measure how well we are doing, we are asking you to tell us if you have a disability or if you ever had a disability. Completing this form is voluntary, but we hope that you will choose to fill it out. If you are applying for a job, any answer you give will be kept private and will not be used against you in any way.

If you already work for us, your answer will not be used against you in any way. Because a person may become disabled at any time, we are required to ask all of our employees to update their information every five years. You may voluntarily self-identify as having a disability on this form without fear of any punishment because you did not identify as having a disability earlier.

How do I know if I have a disability?

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.

Disabilities include, but are not limited to:

Blindness	Autism	Bipolar disorder	Post-traumatic stress disorder (PTSD)
Deafness	Cerebral palsy	Major depression	Obsessive compulsive disorder
Cancer	HIV/AIDS	Multiple sclerosis (MS)	Impairments requiring the use of a wheelchair
Diabetes	Schizophrenia	Missing limbs or	Intellectual disability (previously called mental
Epilepsy	Muscular	partially missing limbs	retardation)
	dystrophy

Please check one of the boxes below:

☐YES, I HAVE A DISABILITY (or previously had a disability)

☐NO, I DON’T HAVE A DISABILITY

☐I DON’T WISH TO ANSWER

__________________________	__________________
Your Name	Today’s Date

Voluntary Self-Identification of Disability

Form CC-305

OMB Control Number 1250-0005

Expires 1/31/2017

Page 2 of 2

Reasonable Accommodation Notice

Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment.

iSection 503 of the Rehabilitation Act of 1973, as amended. For more information about this form or the equal employment obligations of Federal contractors, visit the U.S. Department of Labor’s Office of Federal Contract

Compliance Programs (OFCCP) website at www.dol.gov/ofccp.

PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete.

How to Edit Form Cc 305 Online for Free

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This PDF doc will involve specific information; in order to ensure accuracy, please make sure to consider the next steps:

1. The omb control number 1250 0005 requires specific information to be typed in. Be sure that the following fields are finalized:

form cc 305 omb control number 1250 0005 conclusion process shown (step 1)

2. Right after filling out the last part, go on to the subsequent part and fill out the essential particulars in these blanks - Federal law requires employers to.

Filling in segment 2 in form cc 305 omb control number 1250 0005

Always be extremely careful when filling out Federal law requires employers to and Federal law requires employers to, because this is where a lot of people make a few mistakes.

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Form Cc 305 – Fill Out and Use This PDF

Form Cc 305 PDF Details

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