Interpreter Billing Statement And Verification
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Interpreter Billing Statement And Verification Form. This is a Michigan form and can be use in Oakland Local County.
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Tags: Interpreter Billing Statement And Verification, Michigan Local County, Oakland
Circuit Court Case Number :
OAKLAND COUNTY INTERPRETER
BILLING STATEMENT AND
VERIFICATION
Date of Service:
Interpreters Name
Address:
Phone #:
Vendor ID #:
Language:
Case Name:
Judge:
Where was service rendered:
Circuit Court
Probation
Other ___________________
Probate Court
Juvenile
Jail
Hours of Interpretation
Total Hours (2 hour Minimum)
To
a.m.
To
p.m.
Circuit Court Use Only
APPROVED $ _________________
Total Time:
Hours
I have not received compensation from any source for
providing this service. I have no expectation of
receiving, nor will I accept any other compensation.
John L. Cooperrider
Deputy Court Administrator
Signature
NOTICE TO INTERPRETER: Before you submit this statement to the Court Administrator’s
Office for payment, your hours must be verified by one of the judge’s staff. Please take this to
the court clerk or secretary of the above-named judge for verification. SUBMIT A SEPARATE
FORM FOR EACH DAY OF SERVICE.
Date
Court Clerk/Secretary
Please return to:
Questions call:
Office of the Court Administrator
Oakland County Circuit Court
1200 N. Telegraph Road Dept. 404
Pontiac, MI 48341-0404
(248) 858-0603
Fax # (248) 975-9877
Additional forms may be obtained from the Court’s website: www.oakgov.com
OCBD-Interpreter Billing Ver-form.doc
Rev 1/08
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