Interpreter Request Form

Requester Contact Information






Deaf Client Information



no need to enter if you do not know this information

no need to enter if you do not know this information


Request Details



Check more than one if requesting different types of interpreters








Appointment Details





Please note the time requested will be considered billable time.

What Kind of appointment will be taking place? Examples could be: A Visit to the ER for broken foot, or; Legal Hearing for traffic violation. (PLEASE DO NOT WRITE ASL SERVICES IN THIS BOX)











For agendas, map of buildings, or extra information you want to share with interpreters. (you can also email them to us at scheduling@dacinterpreting.com)
Questions, Comments, Concerns? Contact us here: 
Comm.Access@dactexas.org
For medical/legal EMERGENCY requests only during after hours, call 469-236-5868
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All requests, cancellations, and/or communication made during after hours will be responded the next business day.