Voluntary Self-Identification of Disability Form

Completion of this form is for benefited employees only. If any employee, benefited or non-benefited, has a need for reasonable accommodations please contact the Office of Disability Support Services (DSS)

If your request is urgent, or if you experience problems using this form, call Human Resources at (302) 831-2171, M-F, 8 a.m–5 p.m.