SOURCE_FILE: /home/univtr5/sandbox.univtrans.com/corpus/20220107_Request from Beverly_Spanish_Zoom.doc EXTENSION: doc TEXT_CHARS: 4679 ======================================================================== bjbj 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): 12/14/2021 Name (Your name): Beverly Davidson Company / Organization Name: WISD (Phone number / Fax number:: 734-646-8150 Email Address: HYPERLINK "mailto:Bdavidson@washtenawisd.org" Bdavidson@washtenawisd.org Date & Time of Service: Service Date: (write day and date in this box) Friday January 7th 2022 Day: MO TU WE TH F SA SU (circle or bold the day your need) Friday January 7 9am via Zoom (Start Time: (write start time in this box) 12pm (EMAIL message reads: request for interpreter for 1/7/22 9am) (End Time: (or best approximation) How many hours do you need with the interpreter? 60 minutes Request Information: Language and Country of Origin: Spanish REQUEST MARITY SOLIS AS TRANSLATOR Name of Limited English Proficient (LEP) Person(s) and their Title(s): Parent: Francelia Roselia Gomez - mother Subject Matter / Charge: Early On IFSP visit Type of Meeting/Hearing: Early ON IFSP = virtual visit with parent and psychologist S Risi Patient/Case Number: Other Participants Names/Titles: Susan Risi Psychologist; Rebecca Yates; Cynthia sommerfield Please add or attached 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 Early ON Address/Room #/Courtroom # ZOOM VIRTUAL MEETING W PARENT & CHILD City / State / Zip On-site Contact Person/Telephone Bev Davidson 734-646-8150 Please include a cell phone or direct contact telephone number for the contact person in the event we need to call the contact person (e.g. if there are any travel delays due to traffic/weather emergencies while the interpreter is en route.) HYPERLINK "mailto:bdavidson@washtenawisd.org" bdavidson@washtenawisd.org HYPERLINK "mailto:srisi@washtenawisd.org" srisi@washtenawisd.org Billing Information (Where should we send the invoice?): Company / Organization Name: WISD Address: 1819 S Wagner Rd City, State & Zip Ann Arbor MI 48106 Attention: Alicia Kruk (Phone number:/ Fax number: 734-994-8100 Email Address: akruk@washtenawisd.org After we receive and fill your request, a confirmation will be forwarded to you via email. If you do not receive a confirmation prior to the assignment, Please call UTS at 734-665-7295! h 5" kgkW h CT h CT h CT h CT h CT ytOEW ytOEW ytOEW }u}u}miei]eVR hec@ h CT h CT hec@ hec@ hec@ hec@ hec@ h CT h CT h CT gd07{ ytOEW gd CT ytOEW }yuqmf}[Q h CT h CT hec@ h CT hec@ h CT h CT hec@ hec@ h CT h CT h CT h CT h CT h CT gd07{ h07{ h07{ h CT h CT h CT xkaWaWM h07{ h CT h07{ h CT gd07{ xndZx h CT h07{ h07{ h07{ h CT gd07{ yt07{ h CT h07{ h CT {jXJX h CT hec@ h CT h CT h CT kd- {tldl`YUYUYUYUYKYG h CT h CT h CT h CT ha!2 ha!2 h CT h CT h CT h CT gdIRx IHDR gAMA PLTE pHYs IDATx `[.( {wXBr OP|t `ECB YtA) D1OF! X7u+VMS IEND ytOEW ytOEW ytOEW ytOEW ytOEW yt07{ ph`^\ [Content_Types].xml _rels/.rels theme/theme/themeManager.xml sQ}# theme/theme/theme1.xml w toc'v )I`n 3Vq%'#q :\TZaG L+M2 e\O* $*c? Qg20pp \}DU4 hsF+ ,)''K \17 K4'+ vt]K O@%\w S; Z |s*Y 0X4D) ?*|f -45x /Y|t theme/theme/_rels/themeManager.xml.rels 6?$Q K(M&$R(.1 [Content_Types].xmlPK _rels/.relsPK theme/theme/themeManager.xmlPK theme/theme/theme1.xmlPK theme/theme/_rels/themeManager.xml.relsPK p tFj 0<*G UNIVERSITY TRANSLATORS SERVICES, LLC Raquel Fleming Normal.dotm Raquel Deuel Microsoft Office Word University Translators Services UNIVERSITY TRANSLATORS SERVICES, LLC Title _PID_HLINKS Microsoft Word 97-2003 Document MSWordDoc Word.Document.8