Form Approved for Optional Use Shasta County Superior Court CF - 0 61 [new April 5, 2017 ] Interpreter Complaint Form Page 1 of 1 SUPERIOR COURT OF CALIFORNIA, COUNTY OF SHASTA Attn: Interpreter Coordinator 1500 Court Street, Room 112 Redding, CA 96001 E-mail: interpreter@shasta.courts.ca.gov Interpreter Complaint Form The Shasta County Superior Court is committed to providing language access for individuals who are unable to understand English. If you believe you have not been provided with reasonable or professional language access, please complete this form and submit it to any clerk at a public counter, via email, or by mail to the Interpreter Coordinator at the address above. Person making the complaint (please print): NAME: ADDRESS: TELEPHONE No.: DAY ( ) EVENING ( ) CITY: STATE: ZIP CODE: FAX: ( ) EMAIL: PLEASE DETAIL YOUR COMPLAINT BELOW: (Please specify what occurred, the date, who was involved, the identity of any witnesses and their contact information and the existence of supporting documents. Please include copies of any relevant documents.) Case No.: Location/Courthouse: Room/Dept. No.: To fully investigate your complaint, the Interpreter Coordinator may need to contact you for additional information. Please note that if your complaint does not fall within this jurisdiction, it will be forwarded to the appropriate department/agency for investigation. Signature: Date: American LegalNet, Inc. www.FormsWorkFlow.com