REQUEST FOR COURT INTERPRETER

CASE INFORMATION:
TYPE OF COURT:
COUNTY OF ________________________
General Sessions/GSNJ Common Pleas/CPNJ
CASE NO. ___________________
Family Court Other ___________________
CASE NAME
LANGUAGE ACCESS NEEDS:
_______________________________
Sign Language/ASL
Plaintiff
Non-English Speaking ___________________
v.
Specify Language
_______________________________
COURT PROCEEDING INFORMATION:
Defendant
Scheduled Date(s): Click to enter a date.
Scheduled Start Time: ______________
REQUESTOR INFORMATION:
Estimated Duration of Proceeding: Click to select.
First Name: ________________________
Proceeding to be held: In Person Remotely
Surname(s): ________________________
Title/Position: ______________________
Courthouse Address: _______________________
Law Firm/Agency/Org: ________________
_______________________
Phone Number: _____________________
Courtroom Number (if known): __________
Email: ________________________
LIMITED ENGLISH PROFICIENCY (LEP) PERSON(S) INFORMATION:
LEP #1 First Name: _____________________	LEP #2 First Name: _____________________
LEP #1 Surname(s): _____________________	LEP #2 Surname(s): _____________________
LEP person #1 is the: Click to choose one.	LEP person #2 is the: Click to choose one.
Date of Request: Click to enter date.

FOR CLERK’S USE:

Interpreter Assigned: ___________________________	Language: _______________________
Interpreter Phone Number: _____________________	Certified Otherwise Qualified
Interpreter Email: ___________________________	Date Assigned: Click to enter date.
Assigned by: __________________________________
Notes: _________________________________________________________________________
IF CANCELLED:

Notification of cancellation received from: _______________________________
On: Click to enter a date at (Time) ______________
Interpreter notified via email on: Click to enter a date at (time): ______________
Notified by: _______________________________
Less than 24 hours (one business day) notice was provided to the interpreter: Yes No
Name of party responsible for late cancellation, per the judge: _______________________________

SCCA261 (Revised 05.2023)

Garrett, Tracy

2023-05-18

Stewart, Ashley