MDOC - Video Interpreter Request Form

Video Interpreting Request

Appointment & Interpretation Policy: A 24-hour advance notice is required for all appointments. For interpretation requests made with less than 24-hour notice, please use our on-demand services. A 1-hour minimum is required for American Sign Language (ASL) interpretation.
Important Reminders

This form is for pre-scheduled appointments only. | Ensure your Microsoft Teams or Zoom link is included below. | Specify the nature/topic of your appointment so we can assign an appropriate interpreter. | ASL is the only language available for MDOC communications. | For urgent/emergent needs, use the On-Demand Portal.
Today's Date*

MonthDayYear
Date
Time*

Hour Minutes

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

MonthDayYear
Date
Ending Date of Assignment

MonthDayYear
Date
SundayMondayTuesdayWednesdayThursdayFridaySaturday
Start and End Time (1-hour minimum for American Sign Language (ASL))*

Start - Hour Minutes Minutes

AM/PM Option

Until
until
End - Hour Minutes Minutes

AM/PM Option
Total 0.0
Time Zone:*
American Sign Language (ASL)
Prisoner Name & Number*
Topic of Appointment Being Interpreted*
Please specify the nature of the appointment (e.g., medical appointment, legal consultation, disciplinary hearing, educational class, religious service, counseling session). This information is required so an appropriately certified and endorsed interpreter can be scheduled for your call.
Host's Name*
Host Phone Number*
Format: (000) 000-0000.
Paste your MicrosoftTeams or Zoom meeting invitation here.

Include the fullmeeting link, date, time, and anydial-in information. The interpreter will use this link to join your session.Microsoft Teams Meeting Join on your computer or mobile app Click here to jointhe meeting: [LINK] Meeting ID: xxx xxx xxx Passcode: xxxxxx
Copy & Paste Meeting Invitation Below*
Appointment Notes / Additional Details*
Note: Providing context helps the interpreter prepare appropriately for your session.
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*

Clear
Date*

MonthDayYear
Date
Should be Empty:

Video Interpreting Request

Important Reminders

Paste your MicrosoftTeams or Zoom meeting invitation here.