Interpreter Services Request Form {JD-CL-93}

INTERPRETER SERVICES REQUEST FORM JD-CL-93 New 9-08 Please E-mail or fax to: Interpreter and Translator Services 90 Washington Street Hartford, Connecticut 06106 Phone: (860) 706-5040 Fax: (860) 706-5088 E-mail address: Interpreter.request@jud.ct.gov Date Interpreter Needed: Location Where Interpreter Needed: Stage of Proceeding: Plea Pre-Trial Y.O. Time Interpreter Needed: Courtroom Number: Interview Court Hearing Court Trial Jury Trial Sentencing Other Judge: Language(s) to be Interpreted: Case Name: Docket Number: Requested From: Phone Number of Requestor (Include area code): Duration of Proceeding: Date Request Made: Comments: (Include name of person in need of interpreting services and his/her relation to case, e.g. defendant, witness, family member, minor) The Judicial Branch complies with the Americans with Disabilities Act (ADA). If you need a reasonable accommodation in accordance with the ADA, contact Interpreter and Translator Services at telephone number (860) 706-5040, fax number (860) 706-5088 or at the address noted above. American LegalNet, Inc. www.FormsWorkflow.com Marque esta casilla si lee o habla español. Assinale este quadrado se você lê ou fala português. Prosimy o zaznaczenie tego kwadratu, jeeli posluguje si Pan/Pani jzykiem polskim. Spanish Portuguese Polish Make kazye sa a si ou li oswa ou pale kreyòl ayisyen. Haitian Creole Chinese (try to determine whether Mandarin or Cantonese) Russian Veri shenje boksit po shkruan dhe lexon Shqip. Albanian Korean Vietnamese Laotian Oznacite ovaj kvadrati ako citate ili govorite bosanski. Bosnian Ukrainian ISpeakTop12CTJB2007.doc Rev 09/2008 Source: ISpeakCards, DB-3309, U.S. Census Bureau, except Albanian and Bosnian American LegalNet, Inc. www.FormsWorkflow.com LANGUAGE IDENTIFICATION GUIDE