Interpreter Request Form

IMPORTANT: Interpreters will not always be available for all hearings or in all languages. See instructions on the reverse of this form for more information. 1.I (name): am a party in the above named case. I am the (check one itembelow): Plaintiff/Petitioner Defendant/Respondent Other (describe): 2.I need an interpreter for (check all that apply) me a witness (describe): 3.The language(s) in which I need an interpreter are Spanish Vietnamese Mandarin CantoneseOther (list all): 4.The court hearing or proceeding for which I need an interpreter is scheduled for: (date): at (time): in . No date is set yet. I dont know the date of the hearing or proceeding.5.Type of case, if known (check one): Criminal Traffic Civil Harassment Juvenile Unlawful Detainer Guardianship Family Law Termination of Parental R ights Conservatorship Other Civil Domestic Violence Elder or dependent Abuse (not I nvolving Child Support Don t know/not sure physical abuse ) To avoid the risk that your hearing will have to be postponed, please submit this form a minimum of two weeks in advance when possible. Signature CLERK DATE STAMPED RECEIVED (N ame, State Bar Number and Address) INTERPRETER REQUEST FORM American LegalNet, Inc. www.FormsWorkFlow.com INSTRUCTIONS and Request to Waive Court Fees (Civil Actions) Foreign Language Interpreter's Duties--Civil and Small Claims www.courts.ca.gov/documents/int200.pdf REQUEST FOR COURT INTERPRETER American LegalNet, Inc. www.FormsWorkFlow.com