Voluntary Self Identification of a Disability Form

As required by federal law, the Voluntary Self Identification of a Disability form provides the opportunity for employees to notify employers of disability post-hire if they wish to do so.

  • Information from an employee's Voluntary Self Identification of a Disability form is populated in SAP infotype IT0077.
  • SAPPHIRE (direct download)
Completing the Voluntary Self Identification of a Disability Form

The employee Name, Date, Employee ID (if known), and one selection under the header "Please check one of the boxes below," should be completed.

The checkbox choices are:

  • Yes, I Have a Disability or Have a History/Record of Having a Disability
  • No, I Don't Have a Disability or Have a History/Record of Having a Disability
  • I Don't Wish to Answer

If for any reason the employee refuses to complete the form, the department should initial, date, and make a notation on the form: “Employee declined to complete”.

Voluntary Self Identification of Disability form