Communications & Interpreting

Interpreting Request Form

A staff of certified sign language interpreters, oral interpreters and Communication Access Realtime Translation (CART) services provide critical communication capability 24 hours a day to support people who are deaf or hard of hearing with employment, counseling, legal contacts, medical appointments, job interviews and theatrical performances.

To request an interpreter, please copy and paste the Request form, fill out the form, print and fax the form to 214-521-3658, or copy and paste, fill out the form and email as an attachment to interpretingdept@yahoo.com. For more information or if you have questions please e-mail: interpretingdept@yahoo.com.

Remember you can not request an interpreter too soon! Please print the form, or copy and paste the form and complete your request using a single form for each date of service. E-mail completed form to interpretingdept@yahoo.com or FAX to 214-521-3658 and we will e-mail or fax back a confirmation for your file.

Please note for emergency rooms and law enforcement call 214-521-0407 from 8:00 am to 4:30 pm, after office hours call emergency number 469-236-5868 with voice mail. Our after hours are 4:30 pm to 8:00 am.

Call 711 to communicate with a deaf client by phone. Give the operator the phone number of your client. The operator will call the client and type your message on a TTY machine and relay the client's response to you.

Date/appt: please select day Sun M T W TH F Sat.

Time of appt: AM or PM Duration hours (over 2 hours requires 2 interpreters.)

Our office hours are Monday through Friday 8:00 am to 5:00 pm. We bill a minimum of 2 hours for all appointments, including 1 hour travel in Dallas County and 2 hours round trip in adjacent counties. Assignment request in other counties are billed travel time and mileage. Parking charges are billed to the requesting company unless otherwise contracted. A retainer fee of $75.00 per physical location is required for our contracted rates. We can fax a contract for your review at your request.

Appointments not cancelled 72 business hours in advance of assignment time will be billed for the billable time reserved.

Assignment (Be specific so that the interpreter can be prepared)

Comments Case#, Purchase Order #, SS# or File#

Assignment site Company Name:

Street Address:

Suite/Floor/Room Number:

Building Name:

Cross Street:

City: State: Zip Code:

Special Parking: Paid Parking?/Validated: Yes NO Security? Yes no

Requestor:

Phone Number: Fax Number:

On Site Contact Full Name:

On Site Contact Phone Number:

Billing Information:

Billed to:

Attention of:

Phone Number: Fax Number:

Address:

City: State:

Special Instructions or PO Number, etc:

FOR DAC OFFICE USE ONLY:

Request Received by: By ph fax date:

Confirmed by: By ph fax date:

Sorry we are unable to provide an interpreter at this time:

Please print form, complete the request and fax to 214-521-3658, or copy and paste, complete the request and email as an attachment to interpretingdept@yahoo.com.

NOTE: This form can not be electronically submitted at this time.

Thank you for requesting a Deaf Action Center Interpreter