Request an Interpreter

Requestor Name

Requestor Contact Information

On Site Point of Contact: Name and Phone Number

Date of Encounter

Start Time

Time

HoursMinutes

Anticipated End Time

Time

HoursMinutes

Please Note: There is a 2 hour minimum for all encounters. Variables such as number of participants, setting, duration and topic may require more than one interpreter to ensure the highest quality access for all participants and prevent overuse injuries to interpreters.

Address of Encounter Location or Link to Virtual Meeting

Name of Deaf Client

Tell us about the encounter

Please include the following:

-Setting (educational, medical, legal, etc)

-Purpose for encounter

-Parking/Security information

Will the encounter be recorded?

Please be aware that any recording requires consent and additional fees will be included. Failure to notify interpreters of recording in advance may result in cancelation of services and/or additional fees.

Is there anything we should know to ensure a positive experience for all participants?

Has the Deaf Consumer made an interpreter preference known? If so, please indicate their name below.

ASL Interpreter Collaborative, LLC will make every effort to honor consumer choice. Legal requirements, ethical considerations and Interpreter availability may conflict with personal preference.