Translation & Interpretation Request Form
LIU 12 Translation & Interpretation Services
Complete this form for any translation requests you may have - either verbal or written.Please note that your request will be filled based on the availability of our interpreters/translators. If we cannot fill your request, we will refer you to a third party provider to service your translation needs.Thank you!
First/Last Name (Point of Contact)
*
Phone Number (Point of Contact)
*
Email (Point of Contact)
*
example@example.com
District/Entity Requesting
*
Please Select
LIU: Central Office
LIU: Franklin Learning Center
LIU: York Learning Center
Bermudian Springs School District
Central York School District
Chambersburg Area School District
Christian School of York
Conewago Valley School District
Crispus Attucks Charter School
Dallastown Area School District
Dover Area School District
Eastern York School District
Fairfield Area School District
Fannett Metal School District
Gettysburg Area School District
Gettysburg Montessori School
Greencastle-Antrim School District
Hanover Public School District
Juniata County School District
Lincoln Charter School
Littlestown Area School District
Northeastern School District
Northern York School District
Red Lion Area School District
Shippensburg Area School District
South Eastern School District
South Western School District
Southern York County School District
Spring Grove Area School District
Tuscarora Area School District
VIDA Charter School
Waynesboro Area School District
West Shore School District
West York Area School District
The School District of the City of York
York Area Regional Charter School
York Suburban School District
York County School of Technology
Other not listed, please add to "Other information Important"
If LIU Request, please enter budget code
Type of Service Requested. Please note: There will be a rush fee of $25 applied to any requests with less than 24 hour notice.
Verbal - $55 per hour for Spanish (1 hour minimum) $65 per hour for all other languages (1 hour minimum). $30 travel surcharge.
Written - $0.25 per word for Spanish and $0.30 per word for other languages ($90 minimum) Note: Please allow at least two weeks or more for IEP, ER and RR Reports. Some may take longer depending on length. Read over fee $0.10 per word.
Cultural Navigation $65 hour Spanish/ $75 other languages
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Verbal/ Cultural Navigation Requests
Please select your preference of method of interpretation.
In Person ($30 mileage charge for all in-person meetings)
Virtual
Phone
Select type of meeting
Back to School
Discipline Meeting
Evaluation
Family Engagement Activity
IEP Meeting
Intake Meeting/Form
Parent Meeting
Parent/Teacher Conference
Referral Forms
Registration (Kindergarten, new student)
Testing (PSSA, Keystone, etc...)
Community Outreach
Other not listed, please add to "Other information Important to interpreter"
Name (Person conducting appointment)
*
Email or Phone Number of (Person conducting appointment)
*
Appointment Location; Building Name & Complete Address; or List Virtual Meeting Location Link
*
Name (Student)
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Name (Parent/Guardian)
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Phone number (Parent/ Guardian) if none list N/A
*
Appointment
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Estimated End Time
*
Hour Minutes
AM
PM
AM/PM Option
Please select the language required. Any language with an asterisk are available for in-person depending on location.
*
Spanish*
Arabic*
Dari*
French*
Haitian Creole*
Hindi*
Mandarin/Chinese
Nepali*
Persian*
Russian*
Urdu*
Ukrainian
Other language not listed, please add to "Other information Important"
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Written Requests
Type of Document (Please include name for each document. (i.e. Joe Student IEP, Your School District Handbook, etc)
*
Please select the language required.
*
Spanish*
Arabic*
Dari*
Haitian Creole*
Hindi*
Mandarin
Russian*
Nepali*
Pashto*
Persian*
Ukrainian
Urdu*
Other language not listed, please add to "Other information Important"
Date Document is Needed. (Please allow at least 2 weeks or more for IEP, ER and RR Reports. Some may take longer depending on length.)
*
-
Month
-
Day
Year
Date
Name of person requesting the document
*
Email of person requesting the document
*
example@example.com
Please upload documents for translation here.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please list the student(s) name(s) and languages needed if requesting more than one document in more than one language.
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Thank your submission has been received. Any questions reach out to translationservices@iu12.org
Please provide any other information important for the scheduler or interpreter.
Submit
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