Code |
Meaning |
Description |
01 |
Disability status not identified |
I do not wish to identify my disability status. (Note: Your personnel officer may use this code if, in his or her judgment, you used an incorrect code.) |
04 |
No Handicap (Prior to October, 1997) |
|
05 |
No disability |
I do not have a disability |
06 |
Disability not listed |
I have a disability, but it is not listed on this form |
13 |
Speech impairment |
Speech impairments - includes impairments of articulation (unclear language sounds), fluency (stuttering), voice (with normal hearing), dysphasia, or history of laryngectomy |
15 |
Hearing impairment/hard of hearing |
Hearing impairment/hard of hearing |
16 |
Total Deafness in Both Ears, with Understandable Speech |
|
17 |
Total Deafness in Both Ears, and Unable to Speak Clearly |
|
18 |
Total deafness in both ears |
Total deafness in both ears (with or without understandable speech) |
21 |
Blind |
Blind (inability to read ordinary size print, not correctable by glasses, or no usable vision, beyond light perception) |
22 |
Visual impairments |
Visual impairments (e.g., tunnel or monocular vision or blind in one eye) |
23 |
Inability to Rd Ordnry Sz Print, Not Correctable By Glasses |
|
24 |
Blind in One Eye |
|
25 |
Blind in Both Eyes |
|
26 |
Missing extremities (one hand or one foot) |
Missing extremities (one hand or one foot) |
27 |
Absence of Extremity-Missing One Hand |
|
28 |
Absence of Extremity-Missing One Arm |
|
29 |
Absence of Extremity-Missing One Foot |
|
30 |
Missing extremities |
Missing extremities (missing one arm or leg, or more than one hand, arm, foot, or leg in any combination) |
32 |
Absence of Extremity-Missing One Leg |
|
33 |
Absence of Extremity-Missing Both Hands or Arms |
|
34 |
Absence of Extremity-Missing Both Feet or Legs |
|
35 |
Absence of Extremity-Msng One Hand/Arm & One Foot/Leg |
|
36 |
Absence of Extremity-Msng One Hand/Arm & Both Feet/Legs |
|
37 |
Absence of Extremity-Missing Both Hands/Arms & One Foot/Leg |
|
38 |
Absence of Extr-Msng Both Hands/Arms & Both Feet/Legs |
|
40 |
Mobility impairment |
Mobility impairment (e.g., cerebral palsy, MS, MD, congenital hip defects, etc.) |
41 |
Spinal abnormalities |
Spinal abnormalities (e.g., spina bifida, scoliosis) |
44 |
Non-paralytic orthopedic impairments |
Non-paralytic orthopedic impairments: chronic pain, stiffness, weakness in bones or joints, some loss of ability to use part or parts of the body |
45 |
Chronic Pain, Stiffness or Weakness-One or Both Feet |
|
46 |
Chronic Pain, Stiffness or Weakness-One or Both Arms |
|
47 |
Chronic Pain, Stiffness or Weakness-One or Both Legs |
|
48 |
Chronic Pain, Stiffness or Weakness-Hip or Pelvis |
|
49 |
Chronic Pain, Stiffness or Weakness-Back |
|
51 |
HIV positive/AIDS |
HIV positive/AIDS |
52 |
Morbid obesity |
Morbid obesity |
61 |
Partial paralysis of one hand, arm, foot, leg |
Partial paralysis of one hand, arm, foot, leg, or any part thereof |
62 |
Partial Paralysis - One Arm, Any Part |
|
63 |
Partial Paralysis - One Leg, Any Part |
|
64 |
Partial Paralysis - Both Hands |
|
65 |
Partial Paralysis - Both Legs, Any Part |
|
66 |
Partial Paralysis - Both Arms, Any Part |
|
67 |
Partial Paralysis - One Side of Body, Incl One Arm & One Leg |
|
68 |
Partial Paralysis - Three or More Major Parts of the Body |
|
69 |
Partial paralysis (brain, nerve, or muscle impairment) |
Partial paralysis (because of brain,nerve/muscle impairment, incl palsy&cerebral palsy, partial loss of ability to move/use part of body, two or more major body parts) |
70 |
Complete paralysis of one hand |
Complete paralysis of one hand |
71 |
Complete Paralysis - Both Hands |
|
72 |
Complete Paralysis - One Arm |
|
73 |
Complete Paralysis - Both Arms |
|
74 |
Complete Paralysis - One Leg |
|
75 |
Complete Paralysis - Both Legs |
|
76 |
Complete Paralysis - Lower Half of Body, Including Legs |
|
77 |
Complete Paralysis-One Side Body, Incl One Arm & Leg |
|
78 |
Complete Paralysis-3 or More Parts of Body(Arms/Legs) |
|
79 |
Complete paralysis |
Because of a brain,nerve/muscle impairment,incl palsy&cerebral palsy, complete loss of ability to move/use a part of body,two or more major parts |
80 |
Cardiovascular/heart disease with or without restriction |
Cardiovascular/heart disease with or without restriction or limitation on activity; history of heart problems w/complete recovery |
81 |
Heart Disease - with Limitation or Restriction of Activity |
|
82 |
Epilepsy |
Epilepsy |
83 |
Blood Diseases |
Blood Diseases (e.g., sickle cell anemia, hemophilia) |
84 |
Diabetes |
Diabetes |
86 |
Pulmonary or respiratory conditions |
Pulmonary or respiratory conditions (e.g., tuberculosis, asthma, emphysema, etc.) |
87 |
Kidney dysfunction |
Kidney dysfunction (e.g., required dialysis) |
88 |
Cancer (present or past history) |
Cancer (present or past history) |
89 |
Cancer (Undergoing Surgical and / or Medical Treatment) |
|
90 |
Severe intellectual disability |
Severe intellectual disability |
91 |
Psychiatric disability |
Psychiatric disability |
92 |
Dwarfism |
Dwarfism |
93 |
Disfigurement of face, hands, feet |
Disfigurement of face, hands, or feet (such as those caused by burns or gunshot wounds) and noticeably gross facial birthmarks |
94 |
Learning Disability |
Learning disability - a disorder in one or more of the processes involved in understanding, perceiving, or using language or concepts (spoken or written) (e.g., dyslexia, ADD/ADHD) |
95 |
Gastrointestinal disorders |
Gastrointestinal disorders (e.g., Crohn's Disease, irritable bowel syndrome, colitis, celiac disease, dysphexia, etc.) |
98 |
History of alcoholism |
History of alcoholism |