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Interpreter Acknowledgment FCS-11 - California

Interpreter Acknowledgment Form. This is a California form and can be used in Family San Mateo Local County .
 Fillable pdf Last Modified 12/10/2013
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SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN MATEO Hall of Justice and Records 400 County Center, 6th Floor Redwood City, CA 94063-1655 FAMILY COURT SERVICES www.sanmateocourt.org JOHN FITTON COURT EXECUTIVE OFFICER CLERK & JURY COMMISSIONER TEL. (650) 261-5080 FAX (650) 261-5142 INTERPRETER ACKNOWLEDGMENT My presence in mediation is being requested by ___________________________________, to provide (Name of client) interpretation. My signature indicates that I understand what my role is as an interpreter, and that I accept and will follow the guidelines listed in the Interpreter Instructions, which are also summarized below: 1. 2. 3. 4. 5. 6. Interpret only the exact words spoken by the person Repeat everything that is said Remain neutral Maintain confidentiality Not give advice or opinions Tell the mediator immediately if there is a problem Signature __________________________________________________ Date ____________________ Name (please print) ___________________________________________________________________ Address ____________________________________________________________________________ City _________________________________________ State _________ Zip Code ________________ Relationship to client(s) ________________________________________________________________ 6-2010 CA American LegalNet, Inc. www.FormsWorkFlow.com
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