Interpreter Request Form

Requestor First Name:

Requestor Last Name:

DIRECT Phone Number:

FAX Number (If Applicable):

PREFERRED Email Address to receive confirmation:

Date of Appointment

Start Time:

End Time of Appointment:

If there is more than 1 date being requested, please list dates and times below.

Will the Interpreter need to arrive early? If so , how much earlier?

Please note the time requested will be considered billable time.

Link for Meeting (If None provided, we can provide a link)

Location Name:

Location Of Assignment- Street Address

Building/Suite (If Applicable)

City

State

Zip code

Point of Contact Name

Point of Contact Phone:

Special Meeting Instructions/ Notes not previously listed:

File Upload (If Needed)

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.