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APPENDIX B Language of Service and Communication FormINFORMATION CHILD Name of child:Date of birth: (mm/dd/YYY)Language of service for the children intervention:EnglishFrenchINFORMATION PARENTS Name
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How to fill out language of service form
How to fill out language of service form
01
Step 1: Start by entering your personal information such as your name, address, and contact details.
02
Step 2: Indicate the language in which you would like to receive services by selecting the appropriate option from the given choices.
03
Step 3: If you require any additional assistance or accommodations, specify them in the designated section.
04
Step 4: Read and understand the terms and conditions of the language services provided. Make sure to agree to them by checking the designated box.
05
Step 5: Finally, sign and date the form to complete the process.
Who needs language of service form?
01
Anyone who requires language assistance or services in a specific language needs to fill out the language of service form. This can include individuals with limited English proficiency, individuals who are deaf or hard of hearing, or individuals with other communication barriers.
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What is language of service form?
The language of service form is a document used to specify the preferred language in which a service should be provided.
Who is required to file language of service form?
Anyone who wishes to receive services in a language other than the default language is required to file the language of service form.
How to fill out language of service form?
To fill out the language of service form, provide your personal details, specify the preferred language, and sign the form where required.
What is the purpose of language of service form?
The purpose of the language of service form is to ensure that individuals receive services in a language they understand and feel comfortable with.
What information must be reported on language of service form?
The language of service form typically requires personal details such as name, contact information, preferred language, and any specific requests or accommodations needed.
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