Disability Qualification Determination

OMB 3037-0012

Latest Forms, Documents, and Supporting Material

Document Name
Disability Qualification Determination Form
Redlined IEE.pdf Supplementary Document
Form 1 supporting statement - Inspected.docx Supporting Statement A
2024-24384.pdf Supplementary Document
INDIVIDUAL ELIGIBILITY EVALUATION (3).dotx Supplementary Document
Commission Policy 51.403 Determining Eligibility of Participating Employees signed-2Aug2024-a.pdf Supplementary Document
41 CFR 51-4.3 (up to date as of 10-09-2024) (1).pdf Supplementary Document
form 1 60-day notice 2023-25499.pdf Supplementary Document
Form 1 30-day Notice.docx Supplementary Document
Disability Qualification Determination Form
Individual Eligibility Evaluation Form Instruction