REQUEST FOR PAYMENT FOR QUALIFIED INTERPRETER

STATE OF SOUTH CAROLINA	TYPE OF COURT:

COUNTY OF	General Sessions/GSNJ Common Pleas/CPNJ

JUDICIAL CIRCUIT	Family Court Other __________________________

CASE NO:	LANGUAGE ACCESS NEEDS:

CASE NAME:	Sign Language/ASL

Non-English Speaking

Plaintiff (Specify Language)

v.

Date Service Rendered:

Defendant

Case Number	Start Time	AM/

PM	End Time	AM/

PM	Hours/Min. Interpreting
*TOTAL ACTUAL INTERPRETING TIME:
* If more than three cases were interpreted, please attached a separate sheet of paper with the case numbers and names

Pursuant to S.C. Code Ann. §§ 15-27-15,15-27-155, or 17-1-50 (2010), claim is hereby made for compensation of the services of a qualified interpreter who has been approved by the Court. Note: Interpreters will receive an hourly rate for services rendered in one day (not per case basis), with a two-hour minimum. If interpreting occurs over two separate sessions on the same day, see Chapter 2, Section V of the Court Interpreter Policy & Procedure guide. Mileage may be reimbursed at the official state rate when assignment is outside the interpreter’s residence county or county of place of business.

Hours at $ per hour	$

Miles / To / ______________ at $0.655 $

from City County City County

TOTAL	$

I hereby certify that this is a true and correct statement of my mileage and services rendered for interpreting the court proceeding(s) to a deaf or non-English speaker person who is a juror or a party to the proceeding or a witness therein.

X ___________________________________________ _____________________________________

Signature of Interpreter Printed name of Interpreter

I am (check one): S.C. State Employee Privately Employed

(State employees attest by their signature that they did not perform these services as part of their normal duties or on State time.)

CHECK WILL BE MADE PAYABLE AND MAILED TO THE

INDIVIDUAL OR FIRM LISTED BELOW. LAST 4 DIGITS OF

SOCIAL SECURITY OR F.E.I. NUMBER MUST BE INCLUDED.

IF A W-9 IS NOT ON FILE, PLEASE ENCLOSE.	X _______________________________________________

Signature of Presiding Judge

NAME:	________________________________________

ADDRESS:	________________________________________ ________________________________________

Printed Name of Judge

________________________________________

TELEPHONE #:	________________________________________	__________________________________

Date

Last Four Digits of S.S # (ONLY) or F.E.I. #: ___________________

SCCA/263 (01/2023) NOTE: Original form or Certified True Copy only. Forms not in compliance will be returned.

Garrett, Tracy

2023-01-12

Lovett, Jamesetta