INTERPRETER SERVICES REQUEST FORM JD-CL-93 New 9-08 Please E-mail or fax to: Interpreter and Translator Services 90 Washington Street Hartford, Connecticut 06106 Phone: (860) 706-5040 Fax: (860) 706-5088 E-mail address: Interpreter.request@jud.ct.gov Date Interpreter Needed: Time Interpreter Needed: Location Where Interpreter Needed: Stage of Proceeding: Plea Pre-Trial Y.O. Judge: Courtroom Number: Interview Court Hearing Court Trial Jury Trial Sentencing Other Duration of Proceeding: Language(s) to be Interpreted: Case Name: Docket Number: Date Request Made: Requested From: Phone Number of Requestor (Include area code): Comments: (Include name of person in need of interpreting services and his/her relation to case, e.g. defendant, witness, family member, minor) The Judicial Branch complies with the Americans with Disabilities Act (ADA). If you need a reasonable accommodation in accordance with the ADA, contact Interpreter and Translator Services at telephone number (860) 706-5040, fax number (860) 706-5088 or at the address noted above. American LegalNet, Inc. www.FormsWorkflow.com Spanish LANGUAGE IDENTIFICATION GUIDE Marque esta casilla si lee o habla español. Portuguese Albanian Russian (try to determine whether Mandarin or Cantonese) Chinese Haitian Creole Polish Assinale este quadrado se você lê ou fala português. Prosimy o zaznaczenie tego kwadratu, jeżeli posługuje się Pan/Pani językiem polskim. Make kazye sa a si ou li oswa ou pale kreyòl ayisyen. Veri shenje boksit po shkruan dhe lexon Shqip. Korean Vietnamese Laotian Bosnian Ukrainian Source: ISpeakCards, DB-3309, U.S. Census Bureau, except Albanian and Bosnian Označite ovaj kvadratić ako čitate ili govorite bosanski. ISpeakTop12CTJB2007.doc Rev 09/2008 American LegalNet, Inc. www.FormsWorkflow.com