U.S. Department of Commerce

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Form SF-256 Instructions

Form SF-256 - Self Identification of Disability PDF [23 KB]

Self Identification of handicap status is voluntary, however, your cooperation in providing this information is very important.

  • The Privacy Act statement and purpose for handicap data collection is explained on the back of the form.
  • Read through the definitions provided and enter the code of the one which best described your status.
  • Enter only one code.
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Source: U.S. Census Bureau | Human Resources Division | (301) 763-4748 |  Last Revised: April 08, 2013