GF-149, 05/19 Interpreter Request 247885.38(3)(a), Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 1 of 2 STATE OF WISCONSIN, CIRCUIT COURT, COUNTY Interpreter Request Case No. Form must be completed in the English language. 1. Name of Person Requesting Interpreter Address Telephone/TTY Number Date Request Submitted 2. The person who needs the interpreter is a party. witness who is testifying. victim. Other: 3. The interpreter will be needed on [Date] at [Time] a.m. p.m. for all proceedings related to this case. 4. The language needed is Spanish German Portuguese Hmong Hindi Punjabi Albanian Italian Russian Arabic Japanese Somali Bosnian/Croatian /Serbian Khmer Thai Bulgarian Korean Tibetan Chinese - Cantonese Lao Urdu Chinese - Mandarin Mai - Mai/Bantu Vietnamese French Polish Other : (Specify dialect) (Complete the following, if different from number 1 above.) 5. Name of person completing this request: Telephone/TTY Number: Mailing Address: American LegalNet, Inc. www.FormsWorkFlow.com GF-149, 05/19 Interpreter Request 247885.38(3)(a), Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 2 of 2 IT IS ORDERED: This interpreter request is approved for all court proceedings . O ther: This interpreter request is denied because: DISTRIBUTION: 1. Judge 2. Clerk of Court 3. Attorney/P arty 4. Other: American LegalNet, Inc. www.FormsWorkFlow.com