Medical & Community Volunteer Interpreter Request Form

Language Requested

Other Language

Requested by

Name

Postal code (Single-byte alphanumeric characters)

Omit dashes when entering numbers into this field.

Address

TEL

Omit dashes when entering numbers into this field.

FAX

Omit dashes when entering numbers into this field.

Email address

Email address(for confirmation)

Client

Name

Nationality

Date of Birth

Sex

Details of Dispatch

Date of interpreter request:

Finish time

Location

Postal code (Single-byte alphanumeric characters)

Omit dashes when entering numbers into this field.

Address

TEL

Omit dashes when entering numbers into this field.

Meeting Place

Content

Note

Other information to convey to the interpreter

TPIEF and its affiliates are under no legal obligation in the event that interpreting services provided are felt by the client or recipient to have been less than satisfactory.
In principle, volunteers do not interpret any content beyond that specified on the request form.
Requests should be made at least 3 days prior to dispatch. Requesting parties are asked to complete a report form within 3 days afterward.
Dispatch may not be possible in certain languages or if requested very soon beforehand.
Volunteers cannot provide interpreting in grave or life-threatening matters or situations.
Services are refused in the absence of compliance with these terms or in case of tardiness without notice in arrival at the specified meeting place.

I consent to all of the above.