Skip to main content
Department for Work and Pensions home page
Disability Confident Leader
Fill in this form to confirm that your self-assessment as a Disability Confident employer has been validated and record your leadership actions. * Is a mandatory field
About your business
Disability Confident reference number
you will need this number to confirm you signed-up
Confirmation of your self-assessment
This is to confirm that:
we have had our Disability Confident self-assessment subject to challenge and validated
the validators agree with our evidence and assessment
we are delivering against our commitments under ‘getting the right people for your business’ and ‘keeping and develop your people’
Validating organisation name
Contact name at validating organisation
Date of Validation
For example, 15 9 2016
How is your business showing leadership?
Please provide details of the activities you have taken, or are taking, in support of being a Disability Confident leader.
This iframe contains the logic required to handle Ajax powered Gravity Forms.