Request an Interpreter

Required fields are indicated with an asterisk. Please provide as much information as possible to avoid scheduling delays. Your confirmation will be emailed.

IMPORTANT - after submitting your request form, please follow up immediately with a phone call for the following situations:
 
  • Your request is for the same day
  • Your request is made after business hours and needs our attention before the next business day


  • Thank you for choosing Interpretek! We appreciate your business.

    Business hours are before 5pm local time for the office processing your request. At present, all Interpretek offices are on Eastern Time, with one exception: Greater Kansas City is on Central Time.
    *Regional Office  
    *Requestors Name  
    *Organization  
    *Phone ext.  
    Fax
    *Email    
    *Does your organization have a signed agreement with Interpretek?  
    Client number
    Reference number
    *Date of Event    
    *Start Time  
    *End Time  
    *Name(s) of Deaf Consumer(s)  
    Consumer's date of birth  
    Consumer's Language Preference(s) (ASL, PSE, etc.)
    (Check all that apply)
    Consumer's Interpreter Preference(s) 
    Event type (medical, legal, educational, etc)

    *Event description

     
    Deaf consumer's role
    Is prep material available?
    (if yes, please forward to your region office after submitting request)

    *Event Location

    Street  
    Bldg/room #  
    *City, State, Zip City  
    State  
    Zip  
    Specific instructions for interpreter(s) upon arrival

    *Onsite contact name

     
    *Onsite phone number ext  
    Additional Information