DMC Request for Interpreting Services Requests

Date Requested:*
Staff Name:*
Location (If VRI, use DMC’s main address)
Address*
Street Address Address Line 2 City State ZIP Code
What kind of job it will be?*
- Face to face
- VRI (via Interpreter Intelligence)
- VRI (via another platform such as Zoom)
Please only choose Interpreter Intelligence if DMC Zoom accounts are booked. The Interpreter Intelligence platform has a per minute rate and should only be used in rare circumstances.
Language:*
- ASL
- ASL/Spanish
- DeafBlind- tactile
- Deaf Interpreter
Consumer(s) Name (Deaf individuals):*
Appointment Type (Reason for the request):*
Date of Interpreting Job:*
Start Time:*
Hours:Minutes
Start Time: AM/PM*
- AM
- PM
End Time:*
Hours:Minutes
End Time: AM/PM*
- AM
- PM
Job Details (If VRI, include Zoom meeting link):
Select your manager to approve request:*