SOURCE_FILE: /home/univtr5/sandbox.univtrans.com/corpus/2-16-22 Romero-Rizo-University Translators Request Form .docx
EXTENSION: docx
TEXT_CHARS: 1964
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University Translators Services, LLC
INTERPRETER REQUEST FORM
EMAIL REQUEST TO: REQUEST@UNIVTRANS.COM
FAX REQUEST TO: 734-665-1345
Requested By:
 Submission Date (Today's Date):
 2/16/22
 Name (Your name):
 Anne Marie Noyes
Company / Organization Name:
South Lyon Community Schools
 🕾Phone number / Fax number::
 (248) 573-8111
 Email Address:
 noyesa@slcs.us
 Date & Time of Service:
Service Date: (write day and date in this box)
3/17/22
Day: MO TU WE TH F SA SU (circle or bold the day your need)
🕤Start Time: (write start time in this box)
 12:30 pm
🕤End Time: (or best approximation) 1:30-2:00 pm
How many hours do you need with the interpreter? 1-1.5 hrs.
 Request Information: 
 Language and Country of Origin: 
 Spanish/Mexico
 Name of Limited English Proficient 
 (LEP) Person(s) and their Title(s):
 Juan Romero & Anna Rizo, Parents of Damian Romero-Rizo
 Subject Matter / Charge:
 Damian Romero-Rizo
 Type of Hearing: 
 In-Person Parent Meeting to discuss student progress
 Patient/Case Number: 
 
 Other Participants Names/Titles:
 Leslee Voss, classroom teacher, Rose Karnes, Spec. Ed teacher, Jean 
 Smith, reading teacher, & Jennifer McGowan, speech therapist.
 Please add or attach pages that include any other information related to your request; the more informed your interpreter is, the better! 
 Location of Services (Where should the interpreter arrive? Who is the contact person for the interpreter?)
Company / Organization Name
Brummer Elementary School
Address/Room #/Courtroom #
9919 N. Rushton Road
City / State / Zip
South Lyon, MI 48178
 On-site Contact Person
 Rosie Crandall 
 🕾On-site Contact Phone Number
 (248) 573-8520
 Billing Information (Where should we send the invoice?):
Company / Organization Name:
South Lyon Community Schools
Address:
345 S. Warren
City, State & Zip
South Lyon, MI 48178
Attention:
Anne Marie Noyes
🕾Phone number:/ Fax number:
248-573-8111 FAX: 248-437-8953
Email Address:
noyesa@slcs.us