Last updated: 8/10/2022
Foreign Language Interpreter Request And Verification Form
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Description
FOREIGN LANGUAGE INTERPRETER REQUEST PHILADELPHIA Clients Name: Language: R ol e : C l i e n t s N a m e : Language: R ol e : C l i e n t s N a m e : Language: R ol e : If ASL, how many teams are needed: 1 team 2 teams P r o c ee d ing I n f o r m a tion C P MC C ase N u m ber : Case Name: Courtroom: Court Date: Start time: Expected Duration: Type of Proceeding: Location: Einstein Hospital 5583 Park Ave., 19141 City Hall 1501 Arch St., 19102 5th Floor 1880 JFK Blvd., 19103 8th & Spring Garden Sts., 19123 Friends Hospital 4641 Roosevelt Blvd., 19124-Scattergood Bldg. Juvenile Justice Service Center 91 N. 48th St., 19139 CFCF 7901 State Rd., 1916 Other: T i t l e : P hone # : D at e : formation After completing this form, please email to: Interpreters@courts.phila.gov or Fax to: 215-683-8. Please call 215-683-8000 with any questions. FOR OFFICIAL USE ONLY Agency Vendor # LADC ID# Interpreter Name(s): Interpreter Information Email: Date emailed: Verifying official shall eprovide riginal to lease direct all verification related questions to 215-683-8000. I hereby verify that the services were performed by the provider in the above-captioned case on the date and time stated. End Time: Yes No Signature: Please print name Title: First Judicial District of Pennsylvania Court Reporter, Digital Recording and Interpreter Administration 100 South Broad Street, Second Floor Philadelphia, PA 19110 215-683-8000Elizabeth McCarrick, L Coordinator American LegalNet, Inc. www.FormsWorkFlow.com
