SECTION II. ACCOMMODATION REQUESTED

ACCOMMODATION REQUEST

SECTION III. REASON FOR REQUEST

SECTION IV. OTHER

My Plan for Thomas Coates

ProximityCertainly! Here's the completion from where you left off, including the telecommuting plan: ```html Supervisor’s Telephone:
Applicants, Employees On Full-Time Telework, or Employees On Extended Leave
Home Address:
Personal Telephone:
Job Vacancy Number:

SECTION II. ACCOMMODATION REQUESTED

ACCOMMODATION REQUEST

SECTION III. REASON FOR REQUEST

SECTION IV. OTHER

My Plan for Thomas Coates

Proximity to medical hospitals at Princess Anne and First Colony:

• Flexible work schedule to accommodate medical needs.
• Immediate breaks for angina management and medication intake.
• Access to noise-canceling headphones, supportive software, and nearby medical facilities.
• Authorization to work remotely from home office to manage health conditions.
• Ergonomic workstation setup assistance to minimize physical strain and promote health.
• Regular check-ins and feedback sessions with supervisor for progress monitoring.
• Collaborative exploration with IT for assistive technology solutions.
• Emergency response plan for telecommuting with clear communication protocolsHere's the completion from where you left off, including the telecommuting plan: ```html

  Request for Reasonable Accommodation

  Reasonable accommodation is any change or adjustment to a job or work environment that permits a qualified applicant or employee with a disability to participate in the job application process, to perform the essential functions of a job, or to enjoy benefits and privileges of employment equal to those enjoyed by employees without disabilities. Reasonable accommodation also must be made to enable an individual with a disability to participate in the application process, and to enjoy benefits and privileges of employment equal to those available to other employees.

  It is a violation of the ADA to fail to provide reasonable accommodation to the known physical or mental limitations of a qualified individual with a disability, unless to do so would impose an undue hardship on the operation of your business. Undue hardship means that the accommodation would require significant difficulty or expense.

  Claimant Name: Thomas D Coates
  Employee Number: *****9495
  Date of Birth: 12/29/1965
  Home Address: 3416 Warren Place Apt 201, Virginia Beach, VA 23452
  Home #: 757 3743539
  E-Mail: thomas.coates@cox.com
  Avg. Weekly Scheduled Work Hours: 40.0
  Employment Type: Full Time
  Employment Status: Active
  Union/Non-Union: N
  Employee Tier: 1
  Job Description: S1181
  Original Date of Hire: 11/27/2023
  Date of Hire: 11/27/2023
  Customer Information: 239762220218327
  Report #: 0317402
  Work Location: HAMP0024
  Work State: VA
  Level 1 Supervisor:
      Name: Holmes, Donte
      Job Description: M2075
      E-Mail: Donte.Holmes@cox.com
  

  SECTION I: REQUESTOR INFORMATION

  Assistance Needed: (Check One)
  Performing Job Functions or Accessing Work Environment
  First Name:
  Last Name:
  Current Employees Only
  Office or Division Assignment:
  Office Location:
  Position Classification:
  Position Title:
  Work Location or Office Address:
  Work Telephone:
  Personal Telephone:
  Email Address:
  Supervisor's Name:
  Supervisor’s Telephone:
  Applicants, Employees On Full-Time Telework, or Employees On Extended Leave
  Home Address:
  Personal Telephone:
  Job Vacancy Number:
  

  SECTION II. ACCOMMODATION REQUESTED

  What specific accommodation are you requesting?
  Flexible Work Schedule to Accommodate Medical Needs: In collaboration with my supervisor, I request a flexible work schedule that accommodates my scheduled medications and doctor's appointments. This may include adjusted start and end times or a compressed workweek. Additionally: I would like to inquire about the possibility of having a list of nearby medical facilities, including doctors' offices and cardiologists, readily available for my reference, in case of emergencies or urgent needs. By including the request for a flexible schedule and information on nearby medical facilities, you address both your need to manage medications and access healthcare providers while working remotely. Remember to provide any relevant documentation from your doctor to support your requests. I formally request authorization to work remotely from my home office. This will allow me to manage my health conditions (anxiety, depression, heart disease, thyroid) more effectively while fulfilling all my job duties. I request secure remote access to all essential work systems, including payroll, corporate network systems, and any other platforms required to perform my job functions effectively. To ensure efficient and compliant remote work, I request all remote access tools and protocols for secure system usage. This includes clear instructions on accessing payroll systems and other relevant software. I request access to easily understood and accessible training materials on all company compliance policies and procedures. To facilitate seamless remote work, I request regular and interactive communication with my supervisor. This includes clear instructions on deadlines, expectations, and open communication channels to address any challenges arising while working remotely. To optimize my remote work experience and address potential limitations, I request collaborative exploration with the IT department to determine if any assistive technology software can further enhance my ability to access and interact with work systems which may include. To reduce distractions and anxiety in my home workspace, I request access to noise-cancelling headphones. This will allow me to concentrate on work tasks effectively. Regular Check-ins and Feedback Sessions: To ensure my remote work performance meets expectations and to identify any potential obstacles, I request regular check-ins and feedback sessions with my supervisor. This open communication will allow for adjustments as needed to maintain productivity and compliance. By making these specific requests, you clearly communicate your needs for a successful remote work arrangement while managing your health conditions. Remember to keep communication open with your employer throughout the process.
  If you are not sure what accommodation is needed, do you have any suggestions about what options we can explore? Yes No
  If yes, please explain.
  Remote work, flexible hours, or part-time work would be ideal solutions.
  Date Request for Reasonable Accommodation Needed:
  Is your accommodation request time sensitive? Yes No
  If yes, please explain.
  Immediate adjustments are necessary due to ongoing medical needs of my son.
  

  ACCOMMODATION REQUEST

  Do you currently use any accommodation? Yes No
  If yes, list accommodations:
  
  Accommodation(s) Requested (please specify):
  Assistive Technology
  Alternative Work Schedule
  Ergonomic Equipment
  Service (e.g., SLI, reader, note taker)
  Telework
  Workspace Modification
  Other
  Not Sure
  

  SECTION III. REASON FOR REQUEST

  What, if any, job function are you having difficulty performing?
  Regular attendance at the office due to caregiving responsibilities.
  What, if any, employment benefit are you having difficulty accessing?
  Standard work hours without flexibility.
  What limitation is interfering with your ability to perform your job or access an employment benefit?
  Need to provide continuous care for a family member.
  Have you had any accommodations in the past for this same limitation? Yes No
  If yes, what were they and how effective were they?
  N/A
  If you are requesting a specific accommodation, how will that accommodation assist you?
  It will allow me to balance my work responsibilities with caregiving duties, ensuring that I can continue to perform my job effectively.
  

  SECTION IV. OTHER

  Please provide any additional information that might be useful in processing your accommodation request:
  I am committed to maintaining my productivity and meeting all work requirements. These accommodations will help me achieve this balance.
  I acknowledge that I may be required to submit medical documentation from my healthcare provider to support my request.
  Signature:
  Date:
  

  Important Note:

  Employers may mistakenly discontinue the interactive process when an employee requests an accommodation that is not effective, would be too difficult, or is not legally required. However, the interactive process is an ongoing dialogue between the employer and employee that aims to remove barriers so that employees can perform their jobs with accommodations. If an employer doesn't continue the process, they may be violating the Americans with Disabilities Act (ADA). Courts will rule against the party that prevents the process from continuing, and the U.S. Equal Employment Opportunity Commission (EEOC) also prefers to see employers actively engaged. The state may also require employers to participate in the process in good faith and in a timely manner.

  My Plan for Thomas Coates

  Proximity to medical hospitals at Princess Anne and First Colony:

  • Flexible work schedule to accommodate medical needs.
  • Immediate breaks for angina management and medication intake.
  • Access to noise-canceling headphones, supportive software, and nearby medical facilities.
  • Authorization to work remotely from home office to manage health conditions.
  • Ergonomic workstation setup assistance to minimize physical strain and promote health.
  • Regular check-ins and feedback sessions with supervisor for progress monitoring.
  • Collaborative exploration with IT for assistive technology solutions.
  • Emergency response plan for telecommuting with clear communication protocols.