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Request for an Interpreter

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1. General Information This section is complete This section is incomplete
2. Defendant Information This section is complete This section is incomplete
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General Information

Name of person(s) requiring the interpreter:*
Date & Time of Trial*
Date & Time of Trial
Date & Time of Trial
Relation to this case:*
1. Defendant
2. Attorney
3. Witness
4. Juvenile
5. Parent
6. Other
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2. Attorney
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Defendant Information

Citation / Cause Number*
Attorney for Defendant
Defendant First Name*
Defendant's Last Name*
Date of Birth*
Date of Birth
Address
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Electronic Signature

Electronic Signature Agreement*
By checking the "I agree" box below, you agree and acknowledge that 1) the information you supplied is true and correct, 2) your request will not be signed in the sense of a traditional paper document, 3) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 4) you may still be required to provide a traditional signature at a later date.
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