Madera Superior Court Form Adopted for Optional Use MAD-INT-0001 (Rev. 3/19/19) REQUEST FOR INTERPRETER SERVICES Page 1 of 1 SUPERIOR COURT OF CALIFORNIA, COUNTY OF MADERA 200 South G Street Madera, Ca 93637 REQUEST FOR INTERPRETER SERVICES CASE INFORMATION: Case Number(s) : Case Name: HEARING INFORMATION: Hrg. Type: Hrg. Date: Time : Dept. : INTERPRETER(S) NEEDED FOR THE FOLLOWING LANGUAGE: Spanish Triqui* Cambodian Arabic Mixteco* Triqui Alto* Cantonese Russian Mixteco Alto* Triqui Bajo* Mandarin Hmong Mixteco Bajo* Punjabi Farsi/Persian Lao Zapoteco* ASL Vietnamese Other: *F or indigenous language , include state and town of origin: INTERPRETER NEEDED FOR : Plaintiff/Petitioner Defendant/Respondent Witness(es) # of Witnesses Time Estimate: REQUESTING PARTY222S INFORMATION: Please email this request to: Interpreter.Madera@madera.courts.ca.gov or file it with the clerk222s office Please submit this form a minimum of two weeks in advance. Name: Phone Number: Email: (For Court Use Only) American LegalNet, Inc. www.FormsWorkFlow.com