2026 Video Interpreter Request Form

Global Interpreting Services

Video Communication: 48-hour advance notice for all appointments. 30-minute minimum for foreign language and 1-hour minimum for American Sign Language (ASL) - Billed in 15-minute increments after minimum
Today's Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Time

Hour Minutes

AM/PM Option
Organization
Name of Person Requesting Interpreter
Email
example@example.com
Phone
Requester's phone numberFormat: (000) 000-0000.
Date of Assignment

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Start and End Time (30-minute minimum for foreign language and 1-hour minimum for American Sign Language (ASL))

Start - Hour Minutes Minutes

AM/PM Option

Until

End - Hour Minutes Minutes

AM/PM Option
Total 0.0
Time Zone:
Language
Topic of Appointment Being Interpreted
Participant's Information
Host's Name
Host Phone Number
Format: (000) 000-0000.
Copy & Paste Meeting Invitation Below
Billing
Attention
Email
example@example.com
Address
Phone
Format: (000) 000-0000.
Fax
Please enter a valid phone number.Format: (000) 000-0000.
Video Communication: 48-hour advance notice for all appointments. 30-minute minimum for foreign language and 1-hour minimum for American Sign Language (ASL) - Billed in 15-minute increments after minimum.

I have the authority to request Global Interpreting Services' interpreting services for the above-named company and understand that there is a fee for this service.
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Global Interpreting Services

Billing