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American Sign Language (ASL) Interpreter Request Form

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City of Lafayette American Sign Language Interpreter Request Form
Please submit requests for sign language interpreting services at least five (5) business days prior to the event date.
Contact information for the person requiring a sign language interpreter
Please provide at least one form of contact information; either cell phone or email.
Name*
City of residence*
Cell phone (to communicate via text message)
Email address
Event/service information
Name of event or service needing ASL interpretation*
Date of event/service*
Start time of event/service*
End time of event/service*
Additional information
The City will notify you, via the format you identified above, to confirm an interpreter will be provided. Questions can be directed to:
communications@lafayetteco.gov

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American Sign Language (ASL) Interpreter Request Form

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