To Make a Request for Sign Language Interpreting Services

To make a request for interpreting services, select and copy the text between the arrows (à) (hold down your mouse and drag, once text is highlighted, right click and choose 'copy'). You can paste it into an email (once a new email is open, place your mouse in the body of the email, then right click and choose 'paste'), add your request information, and then email it to Joanna Pipitone Coordinator@SignLanguageResourcesInc.com. Joanna and or Erika will confirm receipt and then begin working on your request.

If you've never made a request to Sign Language Resources before, please call 845-566-7951. Either Joanna or Erika will explain the rates and fax you a contract. Once signed your request will be worked on and filled.

à

Requester's Name:

Your Contact Info:

Your Company:

Company Address:

Company Billing Information:

Your PO number if required:

Will a State Voucher be necessary:

Assignment Day(s):

Assignment Date(s):

Assignment Time(s) (start and end):

Name of the deaf consumer(s):

Location (full address/building/floor/room) of the assignment(s):

Check in procedure upon arrival:

Contact person's name upon arrival:

Contact person's phone or text info:

Purpose of the meeting: (ex: "department meeting-SAP update", "Chemistry II class", "doctor/patient visit-annual physical", "court case-adoption proceeding")

{note: the following lines are for court requests}

Case name:

Judge's name:

Docket number:

Plaintiff attorney contact info:

Defendant attorney contact info:

Any additional info:

à