SUPERIOR COURT OF CALIFORNIA COUNTY OF BUTTE Butte County Courthouse One Court Street Oroville, CA 95965 (530) 532-7002 North Butte County Courthouse 1775 Concord Avenue Chico, CA 95928 (530) 532-7002 REQUEST FOR COURT INTERPRETER TODAY'S DATE: __________________________________________ YOUR NAME: ___________________________________________ ADDRESS: ______________________________________________ PHONE NUMBER: ________________________________________ LOCATION FOR INTERPRETER: CASE NUMBER #: _____________________________ DATE OF HEARING: ___________________________ TIME OF HEARING: ___________________________ JUDGE'S NAME (IF KNOWN): _______________________ DEPARTMENT (IF KNOWN): _______________________ OROVILLE CHICO . TYPE OF HEARING: FAMILY LAW Court Trial Request for Order / Motion Request for TRO Review Status Conference TRAC / Trial Setting UNLAWFUL DETAINER Court Trial Motion Review TRAFFIC Arraignment Court Trial CRIMINAL Arraignment OTHER ___________________________________ TYPE OF INTERPRETER REQUESTED American Sign Language - (Use form MC-410)* Arabic Cantonese Hmong Korean Lao Mandarin Mien Punjabi Romanian Russian Spanish Tagalog Ukrainian Vietnamese Other______________________________ REQUESTOR'S SIGNATURE: ____________________________________________ DATE: _________________________ * COURT USE ONLY RECEIVED BY: ___________________________________________ DATE: __________________________________________ INTERPRETER SCHEDULED FOR HEARING: _____________________________________________________________________________ DATE CONFIRMED FOR ABOVE DATE: _______________________________________________________________________________ INTERPRETER COORDINATOR NOTES: _______________________________________________________________________________ *Request For Accommodations By Persons With Disabilities And Response (Form MC-410) should be routed to HR. SS01 - Request for Court Interpreter Revised: 2/16/16 American LegalNet, Inc. www.FormsWorkFlow.com