Interpreter Request Form


Select A County:
 
Case Number:
 
Courtroom Number:
 
Are you aware of any associated court cases in this County?     
         If so, please provide the Case Number or any other details:
        
 
Name of Person needing an interpreter (LEP):
 
*Please complete a form for each person requiring an interpreter*

  The person who needs an interpreter is: (choose one)
 
A party who will need an interpreter for all court dates. Next Court Date & Time:

A person who brings or defends a case on behalf of a minor or adult disabled party for all court dates. Next Court Date & Time:

A parent/legal guardian of a minor party or minor victim who will need an interpreter for all court dates. Next Court Date & Time:

A parent/legal guardian of a disabled adult party who will need an interpreter for all court dates. Next Court Date & Time:

A witness who is testifying on Court Date & Time:

A juror (sign language only) in court on Court Date & Time:

A spectator (sign language only) in court on Court Date & Time:
 

Notification completed by:
 
Relation to LEP:
 
Phone Number:
 
Email (Optional):
 
Language Needed:
 
Approximate Duration of Next Court Proceeding:
 
Notes (Optional):
 
 
Pursuant to Local Rule 2.16, a requesting party has the continuing duty to advise the
Court Administrator’s Office in writing of any changes affecting the scheduling of the interpreter,
including rescheduling of court dates, new court dates, change of hearing type, or the anticipated
non-appearance of the LEP party. Cancellation of interpretation services shall be made as soon as possible,
and no later than three business days prior to the next court date, by notification to the
Court Administrator’s Office to avoid undue expense and inconvenience.

By submitting this form, you are certifying that everything
in the Interpreter Request Form is true and correct.