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Department of Labor and Industries INTERPRETIVE SERVICES APPOINTMENT RECORD Date of Injury (last, first, middle initial) Claim Number Use for workers' compensation or crime victim claims. Send original
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How to fill out interpretive services appointment record
How to fill out interpretive services appointment record:
01
Start by filling out the basic information section at the top of the form. This includes the name of the individual requiring the interpretive services, their contact information, date and time of the appointment, and the name of the interpreter assigned.
02
Next, provide details about the appointment itself. Indicate the purpose of the appointment, such as a medical consultation or legal meeting, and specify any specific requirements or instructions for the interpreter.
03
If there are any special accommodations needed during the appointment, such as wheelchair accessibility or language preferences, make sure to mention them in the appropriate section.
04
In the "Interpreter Details" section, include the interpreter's name, contact information, and any additional notes about their qualifications or experience.
05
Finally, sign and date the interpretive services appointment record to confirm that the information provided is accurate.
Who needs interpretive services appointment record:
01
Individuals who require the assistance of an interpreter during appointments or meetings where language barriers exist.
02
Professionals in fields such as healthcare, legal services, or government agencies who regularly work with clients or patients from diverse linguistic backgrounds.
03
Organizations or institutions that prioritize inclusivity and strive to provide equal access to their services for individuals with limited English proficiency or other communication needs.
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What is interpretive services appointment record?
The interpretive services appointment record is a document that records appointments made for interpretive services, which are language services that aid individuals with limited English proficiency in understanding and participating in a program or activity.
Who is required to file interpretive services appointment record?
Organizations and agencies that receive federal financial assistance and have a language assistance plan in place are required to file interpretive services appointment records.
How to fill out interpretive services appointment record?
To fill out the interpretive services appointment record, you need to provide information such as the date and time of the appointment, the language interpreter requested, and the name of the individual receiving interpretive services.
What is the purpose of interpretive services appointment record?
The purpose of the interpretive services appointment record is to ensure compliance with federal regulations regarding language access and to maintain a record of appointments made for interpretive services.
What information must be reported on interpretive services appointment record?
The interpretive services appointment record must include the date and time of the appointment, the language interpreter requested, the name of the individual receiving interpretive services, and any additional relevant details.
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