Veterans Status

 

1. Why Are You Being Asked to Complete This Form?

This employer is a Government contractor subject to the Vietnam Era Veterans’ Readjustment Assistance Act of 1974, as amended by the Jobs for Veterans Act of 2002, 38 U.S.C. 4212 (VEVRAA). VEVRAA requires Government contractors to take affirmative action to employ and advance in employment protected veterans. To help us measure the effectiveness of our outreach and recruitment efforts of veterans, we are asking you to tell us if you are a veteran covered by VEVRAA. Completing this form is completely voluntary, but we hope you fill it out. Any answer you give will be kept private and will not be used against you in any way.
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 http://www.dol.gov/ofccp.

 

2. What Categories of Veterans Are “Protected” by VEVRAA?

“Protected” veterans include the following categories: (1) disabled veterans; (2) recently separated veterans; (3) active duty wartime or campaign badge veterans; and (4) Armed Forces service medal veterans. These categories are defined below.

1. A “disabled veteran” is one of the following:
   a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or
   a person who was discharged or released from active duty because of a service-connected disability.
2. A “recently separated veteran” means any veteran during the three-year period beginning on the date of such veteran’s discharge or release from active duty in the U.S. military, ground, naval, or air service.
   An “active duty wartime or campaign badge veteran” means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.
3. An “Armed forces service medal veteran” means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.

Reference:
Sample VEVRAA Self-Identification Form, U.S. Department of Labor, https://www.dol.gov/agencies/ofccp/vevraa/self-id-form

Ethnicity

 

1. Why Are You Being Asked to Complete This Form?

Ethnicity and race information is requested under the authority of 42 U.S.C. Section 2000e-16 and in compliance with the Office of Management and Budget’s 1997 Revisions to the Standards for the Classification of Federal Data on Race and Ethnicity. Providing this information is voluntary and has no impact on your employment status, but in the instance of missing information, your employing agency will attempt to identify your race and ethnicity by visual observation.
This information is used as necessary to plan for equal employment opportunity throughout the Federal government. It is also used by the U. S. Office of Personnel Management or employing agency maintaining the records to locate individuals for personnel research or survey response and in the production of summary descriptive statistics and analytical studies in support of the function for which the records are collected and maintained, or for related workforce studies.
Social Security Number (SSN) is requested under the authority of Executive Order 9397, which requires SSN be used for the purpose of uniform, orderly administration of personnel records. Providing this information is voluntary and failure to do so will have no effect on your employment.

 

2. What are the available categories for ethnicity?

Black or African American
Origins in any of the Black racial groups of Africa. This includes Jamaican, Trinidadian, and West Indian.

American-Indian / Alaskan Native
A person having origins in any of the original people of North and South America (including Central America), and those who maintain cultural identification through tribal affiliation or community attachment.

Asian
Origins among any of the original people of the Far East, Southeast Asia, or the Indian Subcontinent, including Cambodia, China, Japan, Korea, Malaysia, Pakistan, the Philippine Island, Thailand, and Vietnam.

Hispanic or Latino
All persons of Mexican, Puerto Rican, Cuban, Central or South American or other Spanish culture/origin.

Native Hawaiian or Other Pacific Islander
Origins in any of the original people of Hawaii, Guam, Samoa, or other Pacific Islands.

White (Not of Hispanic Origin)
Origins in any of the original people of Europe, North Africa or the Middle East.

Reference:
Guide to Personnel Data Standards ETHNICITY AND RACE IDENTIFICATION, U.S. Office of Personnel Management , https://www.opm.gov/forms/pdf_fill/sf181.pdf

Disability

 

1. Why Are You Being Asked to Complete This Form?

We are a federal contractor or subcontractor. The law requires us to provide equal employment opportunity to qualified people with disabilities. We have a goal of having at least 7% of our workers as people with disabilities. The law says we must measure our progress towards this goal. To do this, we must ask applicants and employees if they have a disability or have ever had one. People can become disabled, so we need to ask this question at least every five years. Completing this form is voluntary, and we hope that you will choose to do so. Your answer is confidential. No one who makes hiring decisions will see it. Your decision to complete the form and your answer will not harm you in any way. If you want to learn more about the law or this form, visit the U.S. Department of Labor’s Office of Federal Contract Compliance Programs (OFCCP) website at http://www.dol.gov/ofccp.

 

2. How do you know if you have a disability?

A disability is a condition that substantially limits one or more of your “major life activities.” If you have or have ever had such a condition, you are a person with a disability. Disabilities include, but are not limited to:

1. Alcohol or other substance use disorder (not currently using drugs illegally)
2. Autoimmune disorder, for example, lupus, fibromyalgia, rheumatoid arthritis, HIV/AIDS
3. Blind or low vision
4. Cancer (past or present)
5. Cardiovascular or heart disease
6. Celiac disease
7. Cerebral palsy
8. Deaf or serious difficulty hearing
9. Diabetes
10. Disfigurement, for example, disfigurement caused by burns, wounds, accidents, or congenital disorders
11. Epilepsy or other seizure disorder
12. Gastrointestinal disorders, for example, Crohn’s Disease, irritable bowel syndrome
13. Intellectual or developmental disability
14. Mental health conditions, for example, depression, bipolar disorder, anxiety disorder, schizophrenia, PTSD
15. Missing limbs or partially missing limbs
16. Mobility impairment, benefiting from the use of a wheelchair, scooter, walker, leg brace(s) and/or other supports
17. Nervous system condition, for example, migraine headaches, Parkinson’s disease, multiple sclerosis (MS)
18. Neurodivergence, for example, attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder, dyslexia, dyspraxia, other learning disabilities
19. Partial or complete paralysis (any cause)
20. Pulmonary or respiratory conditions, for example, tuberculosis, asthma, emphysema
21. Short stature (dwarfism)
22. Traumatic brain injury

Reference:
Voluntary Self-Identification of Disability Form, U.S. Department of Labor, https://www.dol.gov/sites/dolgov/files/OFCCP/regs/compliance/sec503/Self_ID_Forms/503Self-IDForm-04262023.pdf