333-INT ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY TELEPHONE NO.: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): FAX NO.(Optional): SUPERIOR COURT OF CALIFORNIA, COUNTY OF SOLANO STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: 600 Union Avenue PO Caller 5000 Fairfield, CA 94533 Fairfield, CA 94533 Vallejo, CA 94590 580 Texas Street 321 Tuolumne Street CASE NAME: REQUEST FOR INTERPRETER CASE NUMBER: 1. My name is: 2. I have a hearing as follows: Date: Department: 3. I need an interpreter at the hearing to translate the following spoken* language: Spanish American Sign Language Tagalog Vietnamese 4. The interpreter is for a party to the case Arabic Cantonese Korean Mandarin a witness.** Time: __________ *Notice A court interpreter will not translate written documents at a hearing. Portuguese Punjabi Russian Other: __________________ (**Fees payable to the court may apply.) I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: Signature of Declarant The Area Below is For Court Use Only CH--Civil harassment with violence, threats of violence, or stalking [1] CI--Civil harassment [6/FW] CO--All other civil cases [8/FW] DP--Juvenile dependency [M] DQ--Juvenile delinquency [M] DR--Drug court [M] DV--Domestic violence alone [1] EA--Elder/dependent adult abuse with physical abuse or neglect [1] EF--All other elder/dependent adult abuse [6/FW] F--Felony [M] FC--Child support [7/FW] FD--Domestic violence in existing FL case [1] FO--All other family law [7/FW] FT--Termination of parental rights [3/FW] FV--Custody and visitation [5/FW] I--Infraction [M] M--Misdemeanor [M] MH--Mental competency [M] PG--Conservatorship & guardianship [4/FW] PO--All other probate [8/FW] T--Traffic [M] UD--Unlawful detainer [2] Other: __________________________ __________________________________ __________________________________ No code Fee waiver on file 333-INT [Rev. 02/2015] Mandatory Sent to Court Interpreter's Office ____________ REQUEST FOR INTERPRETER American LegalNet, Inc. www.FormsWorkFlow.com Page 1 of 1