Interpreting Services Statement (Page 2 of 2) in pdf

Interpreting Services Statement Page 2

AOC-INT-1

Trial [ ] Yes or [ ] No

Page 2 of 2

Date of Service _____________, 2__________

Video Arraignment [ ] Yes or [ ] No

Contact Person _____________________________ Assignment Phone Number _________________________

Assignment Location___________________________________________________________________________

Court Room No. ___________________________ City ___________________________ KY Zip______________

Submit separate form for each Date/ Language/ County/ Court Level/ Video Arraignment/ AOC Department

Service

Judge’s

Caption of the

P=Party

Enter Start

Case Number

Provided

Name

Case ___ vs. ___

Person Requiring Interpretation

J=Juror

Time

(See Docket)

W=Witness

Below

(*See note)

Enter End

Time

Below

Time Subtotal

* Services To: CC Circuit Court, DC District Court, FC Family Court, DR Drug Court,

PS Pretrial Services, CDW Court Designated Worker, OT Other COJ Services

__________________________________________________________________________________ If

Time Subtotal is less than 2 hours, per the Uniform Payment Rate a 2 hour minimum can be

charged. If total time is over 2 hours, please round up to the nearest 15 minute increment.

.25 = 15 minutes, .5 = 30 minutes, .75 = 45 minutes, 1.0 = 1 hour

MAIL TO: AOC

(Transfer rounded time and number of cases to 1 page)

Court Interpreting Services

100 9DQGDOD\ 'ULYH

Invoices shall be processed no later than 30 business days from

Frankfort, KY 40601

the date received.

Interpreting Services Statement Page 2