Interpreter Request Form

Deaf Client Information

Deaf Client Name

Deaf Client Date of Birth:

Deaf Client Email Address:

no need to enter if you do not know this information

Deaf Client Phone Number:

no need to enter if you do not know this information

Client Interpreter Gender Preference:

If the preferred Gender Interpreter is unavailable, would the other Genders be Ok?

YesNo

Billing Confirmation

Is there a separate billing contact for this request outside of the contact on your signed Service Agreement?

YesNo

Billing Contact First Name

Billing Contact Last Name

Billing Contact Email Address

Billing Contact Phone Number

Will This Contact be used as the primary billing contact for all requests moving forward?

YesNo

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
___________________________________________________________

All requests, cancellations, and/or communication made during after hours will be responded the next business day.

Please be aware that jobs cancelled less than 24 Business hours prior to the start time are considered fully billable, and will be processed as fully billable.
___________________________________________________________________

Business hours are 8:00am-5:00pm Monday - Friday excluding Holidays below
New Year’s Day, Martin Luther King Jr. Day, Good Friday Friday, Memorial Day, Juneteenth, Independence Day, Labor Day, Thanksgiving, Christmas Eve, and New Year’s Eve