Request For Payment For Court Appointed Qualified Interpreter (For Deaf Person) Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Request For Payment For Court Appointed Qualified Interpreter (For Deaf Person) Form. This is a South Carolina form and can be use in Magistrate Court-Municipal Court Statewide.
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Tags: Request For Payment For Court Appointed Qualified Interpreter (For Deaf Person), SCCA-263, South Carolina Statewide, Magistrate Court-Municipal Court
REQUEST FOR PAYMENT
FOR QUALIFIED INTERPRETER
STATE OF SOUTH CAROLINA
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COUNTY OF
Plaintiff
vs.
Defendant
IN THE COURT OF
JUDICIAL CIRCUIT
No.
CASE NO.
Pursuant to S.C. CODE ANN. Sections 15-27-15, 15-27-155, or 17-1-50, claim is hereby made for
compensation of the services of a qualified interpreter who has been approved by the Court. Note: Interpreters
will receive an hourly rate for services rendered in one day (not per case), with a two-hour minimum. If
interpreting services exceed one day, the hourly rate per hour will be paid for actual time of services rendered
(to the nearest quarter-hour).
per hour
Hours at $
Miles
/
from
City
County
at $0.445 =
TOTAL
To
/
City
$
$
$
County
Mileage may be reimbursed at the official state rate when assignment is outside residence county or place of business.
I hereby certify that this is a true and correct statement of my mileage and services rendered for interpreting the court proceeding to a
deaf or non-English speaking person who is a juror or a party to the proceeding or a witness therein.
Signature of Interpreter
I am (check one):
Printed Name of Interpreter
S.C. State Employee
Privately Employed
(State employees attest by their signature that they did not perform these services as part of their normal duties or on State time.)
CHECK WILL BE MADE PAYABLE AND MAILED TOTHE INDIVIDUAL OR FIRM LISTED BELOW.
SOCIAL SECURITY OR F.E.I. NUMBER MUST BE INCLUDED. IF A W-9 IS NOT ON FILE, PLEASE ENCLOSE.
NAME:
APPROVED BY: Presiding Judge
ADDRESS:
TELEPHONE NO.
S. S. # or F. E. I. #:
Printed Name of Judge
Date:
NOTE: Original form or Certified True Copy only. Forms not in compliance will be returned.
SCCA/263 (7/2006)
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