<html xmlns:v="urn:schemas-microsoft-com:vml" xmlns:o="urn:schemas-microsoft-com:office:office" xmlns:w="urn:schemas-microsoft-com:office:word" xmlns:dt="uuid:C2F41010-65B3-11d1-A29F-00AA00C14882" xmlns:m="http://schemas.microsoft.com/office/2004/12/omml" xmlns="http://www.w3.org/TR/REC-html40">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=us-ascii">
<meta name="Generator" content="Microsoft Word 15 (filtered medium)">
<!--[if !mso]><style>v\:* {behavior:url(#default#VML);}
o\:* {behavior:url(#default#VML);}
w\:* {behavior:url(#default#VML);}
.shape {behavior:url(#default#VML);}
</style><![endif]--><style><!--
/* Font Definitions */
@font-face
{font-family:Wingdings;
panose-1:5 0 0 0 0 0 0 0 0 0;}
@font-face
{font-family:PMingLiU;
panose-1:2 1 6 1 0 1 1 1 1 1;}
@font-face
{font-family:"Cambria Math";
panose-1:2 4 5 3 5 4 6 3 2 4;}
@font-face
{font-family:Calibri;
panose-1:2 15 5 2 2 2 4 3 2 4;}
@font-face
{font-family:"\@PMingLiU";
panose-1:2 1 6 1 0 1 1 1 1 1;}
/* Style Definitions */
p.MsoNormal, li.MsoNormal, div.MsoNormal
{margin:0in;
margin-bottom:.0001pt;
font-size:11.0pt;
font-family:"Calibri",sans-serif;
mso-ligatures:standardcontextual;}
h1
{mso-style-priority:9;
mso-style-link:"Heading 1 Char";
mso-margin-top-alt:auto;
margin-right:0in;
mso-margin-bottom-alt:auto;
margin-left:0in;
font-size:24.0pt;
font-family:"Times New Roman",serif;}
a:link, span.MsoHyperlink
{mso-style-priority:99;
color:#0563C1;
text-decoration:underline;}
a:visited, span.MsoHyperlinkFollowed
{mso-style-priority:99;
color:#954F72;
text-decoration:underline;}
span.Heading1Char
{mso-style-name:"Heading 1 Char";
mso-style-priority:9;
mso-style-link:"Heading 1";
font-family:"Times New Roman",serif;
font-weight:bold;}
p.xxxxmsonormal, li.xxxxmsonormal, div.xxxxmsonormal
{mso-style-name:x_xxxmsonormal;
margin:0in;
margin-bottom:.0001pt;
font-size:12.0pt;
font-family:"PMingLiU",serif;
mso-fareast-language:ZH-TW;}
.MsoChpDefault
{mso-style-type:export-only;
font-family:"Calibri",sans-serif;}
@page WordSection1
{size:8.5in 11.0in;
margin:.3in .3in .3in .3in;}
div.WordSection1
{page:WordSection1;}
/* List Definitions */
@list l0
{mso-list-id:1366371584;
mso-list-type:hybrid;
mso-list-template-ids:2122108548 67698689 67698691 67698693 67698689 67698691 67698693 67698689 67698691 67698693;}
@list l0:level1
{mso-level-number-format:bullet;
mso-level-text:\F0B7;
mso-level-tab-stop:none;
mso-level-number-position:left;
text-indent:-.25in;
font-family:Symbol;}
@list l0:level2
{mso-level-number-format:bullet;
mso-level-text:o;
mso-level-tab-stop:none;
mso-level-number-position:left;
text-indent:-.25in;
font-family:"Courier New";}
@list l0:level3
{mso-level-number-format:bullet;
mso-level-text:\F0A7;
mso-level-tab-stop:none;
mso-level-number-position:left;
text-indent:-.25in;
font-family:Wingdings;}
@list l0:level4
{mso-level-number-format:bullet;
mso-level-text:\F0B7;
mso-level-tab-stop:none;
mso-level-number-position:left;
text-indent:-.25in;
font-family:Symbol;}
@list l0:level5
{mso-level-number-format:bullet;
mso-level-text:o;
mso-level-tab-stop:none;
mso-level-number-position:left;
text-indent:-.25in;
font-family:"Courier New";}
@list l0:level6
{mso-level-number-format:bullet;
mso-level-text:\F0A7;
mso-level-tab-stop:none;
mso-level-number-position:left;
text-indent:-.25in;
font-family:Wingdings;}
@list l0:level7
{mso-level-number-format:bullet;
mso-level-text:\F0B7;
mso-level-tab-stop:none;
mso-level-number-position:left;
text-indent:-.25in;
font-family:Symbol;}
@list l0:level8
{mso-level-number-format:bullet;
mso-level-text:o;
mso-level-tab-stop:none;
mso-level-number-position:left;
text-indent:-.25in;
font-family:"Courier New";}
@list l0:level9
{mso-level-number-format:bullet;
mso-level-text:\F0A7;
mso-level-tab-stop:none;
mso-level-number-position:left;
text-indent:-.25in;
font-family:Wingdings;}
ol
{margin-bottom:0in;}
ul
{margin-bottom:0in;}
--></style><!--[if gte mso 9]><xml>
<o:shapedefaults v:ext="edit" spidmax="1026" />
</xml><![endif]--><!--[if gte mso 9]><xml>
<o:shapelayout v:ext="edit">
<o:idmap v:ext="edit" data="1" />
</o:shapelayout></xml><![endif]-->
</head>
<body lang="EN-US" link="#0563C1" vlink="#954F72">
<div class="WordSection1">
<p class="MsoNormal" style="margin-top:12.0pt;line-height:105%;page-break-after:avoid">
<span style="font-family:"Arial",sans-serif;color:#2E74B5;mso-ligatures:none"><img width="153" height="59" id="_x0000_i1026" src="cid:image001.png@01D9BBED.214762B0"></span><span style="font-family:"Arial",sans-serif;color:#2E74B5"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif"> <o:p></o:p></span></p>
<table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" style="border-collapse:collapse">
<tbody>
<tr>
<td width="624" colspan="2" valign="top" style="width:6.5in;padding:0in 5.4pt 0in 5.4pt">
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif">July 21, 2023<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif"> <o:p></o:p></span></p>
</td>
</tr>
<tr>
<td width="66" valign="top" style="width:49.5pt;padding:0in 5.4pt 0in 5.4pt">
<p class="MsoNormal" style="mso-margin-top-alt:6.0pt;margin-right:0in;margin-bottom:6.0pt;margin-left:-.7pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif">To:<o:p></o:p></span></p>
</td>
<td width="558" valign="top" style="width:418.5pt;padding:0in 0in 0in 0in">
<p class="MsoNormal" style="mso-margin-top-alt:6.0pt;margin-right:0in;margin-bottom:6.0pt;margin-left:-.7pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif">Department Benefits Representatives<o:p></o:p></span></p>
</td>
</tr>
<tr>
<td width="66" valign="top" style="width:49.5pt;padding:0in 5.4pt 0in 5.4pt">
<p class="MsoNormal" style="mso-margin-top-alt:6.0pt;margin-right:0in;margin-bottom:6.0pt;margin-left:-.7pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif">From:<o:p></o:p></span></p>
</td>
<td width="558" valign="top" style="width:418.5pt;padding:0in 0in 0in 0in">
<p class="MsoNormal" style="mso-margin-top-alt:6.0pt;margin-right:0in;margin-bottom:6.0pt;margin-left:-.7pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif">Central HR Benefits Office<o:p></o:p></span></p>
</td>
</tr>
<tr>
<td width="66" valign="top" style="width:49.5pt;padding:0in 5.4pt 0in 5.4pt">
<p class="MsoNormal" style="mso-margin-top-alt:6.0pt;margin-right:0in;margin-bottom:6.0pt;margin-left:-.7pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif">Re:<o:p></o:p></span></p>
</td>
<td width="558" valign="top" style="width:418.5pt;padding:0in 0in 0in 0in">
<p class="MsoNormal" style="mso-margin-top-alt:6.0pt;margin-right:0in;margin-bottom:6.0pt;margin-left:-.7pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif">Updated Voluntary Self-Identification Disability Form<o:p></o:p></span></p>
</td>
</tr>
</tbody>
</table>
<p class="MsoNormal" style="text-autospace:none"><span style="font-family:"Arial",sans-serif">__________________________________________________________________________________________<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><b><span style="font-family:"Arial",sans-serif">DBRs, please note this information
<u>for your own personal use and reference</u>. Please contact UCPath at 855.982.7284 with any questions.</span></b><span style="font-size:10.0pt;font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal"><o:p> </o:p></p>
<div align="center">
<table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" width="642" style="width:481.5pt">
<tbody>
<tr>
<td width="642" style="width:481.5pt;background:#1295D8;padding:7.5pt 0in 0in 11.25pt">
<p class="MsoNormal" style="line-height:105%"><span style="font-size:15.0pt;line-height:105%;font-family:"Arial",sans-serif;color:white"> <o:p></o:p></span></p>
</td>
</tr>
<tr>
<td width="642" style="width:481.5pt;padding:0in 0in 0in 0in">
<p class="MsoNormal" style="line-height:105%"><span style="font-size:14.0pt;line-height:105%;font-family:"Arial",sans-serif;mso-ligatures:none"><img width="642" height="118" id="_x0000_i1025" src="cid:image002.jpg@01D9BBED.214762B0"></span><span style="font-size:12.0pt;line-height:105%;font-family:"Arial",sans-serif"><o:p></o:p></span></p>
</td>
</tr>
<tr>
<td width="642" valign="top" style="width:481.5pt;border:solid black 1.0pt;padding:0in 0in 0in 0in">
<div align="center">
<table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" width="641" style="width:480.75pt">
<tbody>
<tr style="height:1.7in">
<td width="641" style="width:480.75pt;padding:11.25pt 11.25pt 11.25pt 11.25pt;height:1.7in">
<p class="MsoNormal" style="margin-bottom:7.5pt;line-height:12.6pt"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">Effective July 25, 2023, an updated Disability Self-Identification form will be available to UC employees via UCPath self-service
and to applicants via Candidate Gateway. <o:p></o:p></span></p>
<p class="xxxxmsonormal" style="line-height:105%"><span style="font-family:"Arial",sans-serif;mso-fareast-language:EN-US">These updates aim to improve form completion rates with new language, formatting and disability options. Please share information about
the updated form throughout your location as appropriate.<o:p></o:p></span></p>
<p class="xxxxmsonormal" style="line-height:105%"><span style="font-size:8.0pt;line-height:105%;font-family:"Arial",sans-serif;mso-fareast-language:EN-US"><o:p> </o:p></span></p>
<p class="xxxxmsonormal" style="line-height:105%"><b><span style="font-family:"Arial",sans-serif;mso-fareast-language:EN-US">What's Changing?<o:p></o:p></span></b></p>
<p class="xxxxmsonormal" style="line-height:105%"><span style="font-size:8.0pt;line-height:105%;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="xxxxmsonormal" style="line-height:105%"><span style="font-family:"Arial",sans-serif;mso-fareast-language:EN-US">The improved form includes the following newly listed disabilities:<o:p></o:p></span></p>
<p class="xxxxmsonormal" style="margin-left:.5in;text-indent:-.25in;line-height:105%;mso-list:l0 level1 lfo1">
<![if !supportLists]><span style="font-family:Symbol;mso-fareast-language:EN-US"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Arial",sans-serif;mso-fareast-language:EN-US">Alcohol or other substance use disorder; not currently using drugs illegally<o:p></o:p></span></p>
<p class="xxxxmsonormal" style="margin-left:.5in;text-indent:-.25in;line-height:105%;mso-list:l0 level1 lfo1">
<![if !supportLists]><span style="font-family:Symbol;mso-fareast-language:EN-US"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Arial",sans-serif;mso-fareast-language:EN-US">Disfigurement, for example, disfigurement caused by burns, wounds, accidents or congenital disorders<o:p></o:p></span></p>
<p class="xxxxmsonormal" style="margin-left:.5in;text-indent:-.25in;line-height:105%;mso-list:l0 level1 lfo1">
<![if !supportLists]><span style="font-family:Symbol;mso-fareast-language:EN-US"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Arial",sans-serif;mso-fareast-language:EN-US">Mobility impairment, benefiting from the use of a wheelchair, scooter, walker, leg brace(s) and other supports<o:p></o:p></span></p>
<p class="xxxxmsonormal" style="margin-left:.5in;text-indent:-.25in;line-height:105%;mso-list:l0 level1 lfo1">
<![if !supportLists]><span style="font-family:Symbol;mso-fareast-language:EN-US"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Arial",sans-serif;mso-fareast-language:EN-US">Neurodivergence, for example, attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder, dyslexia, dyspraxia and other learning disabilities<o:p></o:p></span></p>
<p class="xxxxmsonormal" style="margin-left:.5in;text-indent:-.25in;line-height:105%;mso-list:l0 level1 lfo1">
<![if !supportLists]><span style="font-family:Symbol;mso-fareast-language:EN-US"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Arial",sans-serif;mso-fareast-language:EN-US">Partial or complete paralysis; any cause<o:p></o:p></span></p>
<p class="xxxxmsonormal" style="margin-left:.5in;text-indent:-.25in;line-height:105%;mso-list:l0 level1 lfo1">
<![if !supportLists]><span style="font-family:Symbol;mso-fareast-language:EN-US"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Arial",sans-serif;mso-fareast-language:EN-US">Pulmonary or respiratory conditions, for example, tuberculosis, asthma, emphysema<o:p></o:p></span></p>
<p class="xxxxmsonormal" style="margin-left:.5in;text-indent:-.25in;line-height:105%;mso-list:l0 level1 lfo1">
<![if !supportLists]><span style="font-family:Symbol;mso-fareast-language:EN-US"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Arial",sans-serif;mso-fareast-language:EN-US">Short stature/Dwarfism<o:p></o:p></span></p>
<p class="xxxxmsonormal" style="margin-left:.5in;text-indent:-.25in;line-height:105%;mso-list:l0 level1 lfo1">
<![if !supportLists]><span style="font-family:Symbol;mso-fareast-language:EN-US"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Arial",sans-serif;mso-fareast-language:EN-US">Traumatic brain injury
<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:6.0pt;line-height:12.6pt"><span style="font-size:7.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-bottom:6.0pt;line-height:12.6pt"><b><span style="font-size:12.0pt;font-family:"Arial",sans-serif">Why is the form changing?</span></b><span style="font-size:12.0pt;font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="xxxxmsonormal" style="line-height:105%"><span style="font-family:"Arial",sans-serif;mso-fareast-language:EN-US">UCPath will implement the updated form by July 25, 2023, to ensure full compliance with federal regulations.
<o:p></o:p></span></p>
<p class="xxxxmsonormal" style="line-height:105%"><b><span style="font-size:8.0pt;line-height:105%;font-family:"Arial",sans-serif;mso-fareast-language:EN-US"><o:p> </o:p></span></b></p>
<p class="xxxxmsonormal" style="line-height:105%"><b><span style="font-family:"Arial",sans-serif;mso-fareast-language:EN-US">Who initiated the change?<o:p></o:p></span></b></p>
<p class="xxxxmsonormal" style="line-height:105%"><b><span style="font-family:"Arial",sans-serif;mso-fareast-language:EN-US"><o:p> </o:p></span></b></p>
<p class="xxxxmsonormal" style="line-height:105%"><span style="font-family:"Arial",sans-serif;mso-fareast-language:EN-US">The
</span><a href="https://www.whitehouse.gov/omb/"><span style="font-family:"Arial",sans-serif;mso-fareast-language:EN-US">Office of Management and Budget</span></a><span style="font-family:"Arial",sans-serif;mso-fareast-language:EN-US"> (OMB) approved the
</span><a href="https://www.dol.gov/agencies/ofccp"><span style="font-family:"Arial",sans-serif;mso-fareast-language:EN-US">Office of Federal Contract Compliance Programs</span></a><span style="font-family:"Arial",sans-serif;mso-fareast-language:EN-US"> (OFCCP)
revised </span><a href="https://www.dol.gov/agencies/ofccp/self-id-forms"><span style="font-family:"Arial",sans-serif;mso-fareast-language:EN-US">form</span></a><span style="font-family:"Arial",sans-serif;mso-fareast-language:EN-US"> on April 25, 2023, and
it will remain valid until April 30, 2026.<o:p></o:p></span></p>
<p class="xxxxmsonormal" style="line-height:105%"><span style="font-family:"Arial",sans-serif;mso-fareast-language:EN-US"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-bottom:7.5pt;line-height:12.6pt"><b><span style="font-size:12.0pt;font-family:"Arial",sans-serif">Training Resources:</span></b><span style="font-size:12.0pt;font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;line-height:12.6pt">
<span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:#444444">UCPath is updating the
</span><a href="https://sp.ucop.edu/sites/ucpathhelp/SelfServiceUsers/PORplayer/data/tpc/e12eaef8-c947-406f-802a-4369776044c4/lmstart.html?dhtml&Guid=e12eaef8-c947-406f-802a-4369776044c4"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">Enter Voluntary
Self-Identification of Disability</span></a><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:#444444"> job simulation and will provide revised training resources when available.</span><span style="font-size:12.0pt;font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:105%"><span style="font-size:12.0pt;line-height:105%;font-family:"Arial",sans-serif;color:#444444">Please contact the UCPath Center should you have any questions at
<o:p></o:p></span></p>
<p class="MsoNormal" style="line-height:105%"><span style="font-size:12.0pt;line-height:105%;font-family:"Arial",sans-serif">(855) 982-7284<span style="color:#1F4E79">
</span>Monday - Friday from 8:00 a.m. - 5:00 p.m.<span style="color:#1F4E79"><o:p></o:p></span></span></p>
</td>
</tr>
</tbody>
</table>
</div>
</td>
</tr>
<tr>
<td width="642" style="width:481.5pt;background:#1295D8;padding:0in 0in 0in 0in">
<div align="center">
<table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" width="630" style="width:472.5pt">
<tbody>
<tr>
<td width="630" style="width:472.5pt;padding:7.5pt 0in 0in 0in">
<p class="MsoNormal" align="right" style="text-align:right;line-height:105%"><span style="font-size:8.5pt;line-height:105%;font-family:"Arial",sans-serif;color:black"><o:p> </o:p></span></p>
</td>
</tr>
<tr>
<td width="630" style="width:472.5pt;padding:0in 0in 0in 0in">
<p class="MsoNormal" style="line-height:105%"><span style="font-family:"Arial",sans-serif"> </span><span style="font-size:12.0pt;line-height:105%;font-family:"Arial",sans-serif"><o:p></o:p></span></p>
</td>
</tr>
</tbody>
</table>
</div>
</td>
</tr>
</tbody>
</table>
</div>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
</div>
</body>
</html>