Legal / Other Interpreters – LangServ Translation Agency

Requester Name *

First & Last

Requester Email *

Company Name *

Dept / Unit *

Phone Number *

Fax Number

Claim # / PO # / File # / Case #

Identifying code for billing or case identification

Assignment - On-Site Location Info

On-Site Contact *

Venue

Building Name / Type

Address *

Address

Include Suite / Apt # / Floor

City

State/Province

Zip/Postal

Date of Assignment *

Make sure you select a VALID date in the future.

Time *

Duration *

Minimum 2 hours

Language to be interpreted * Language to be interpreted

Select Other if you have a Special Needs Client (blind, limited reading skills, hard of hearing - not deaf). Please list need in popup box.

Description of Services Required *

Attorney / Client Meeting

Deposition

EUO

Court

Employment

Immigration

Housing

OtherOther

If service is not listed, please select other and list service in box.

Name of Person with limited English proficiency: *

Special Instructions

Please include any notes or future appointment needs that will help us fulfill your request.

Cancellation Policy:

FOREIGN LANGUAGE: Cancellations made within one business day of the assignment will be subject to our two hour minimum fee.
SIGN LANGUAGE: Cancellations made within TWO business days of the assignment will be subject to our two hour minimum fee.

policy agreement *

I understand the Cancellation Policy stated above and by checking the box, I agree to these terms.