Interpreter Request Form

Request Information

Requester Contact Information

Request Details

Check more than one if requesting different types of interpreters

Put NA if Not Applicable

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 a cosmetology class focused on coloring. (PLEASE DO NOT WRITE ASL SERVICES IN THIS BOX)

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

Needs Name, Phone, and Email address (If Possible)

For agendas, map of buildings, or extra information you want to share with interpreters. (you can also email them to us at
Questions, Comments, Concerns? Contact us here:
For 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,  Memorial Day, Juneteenth, Independence Day, Labor Day, Thanksgiving, Christmas Eve, and New Year’s Eve