Ccr Form A-310 - Procedures For Requesting A Court Appointed

Ccr Form A-310 - Procedures For Requesting A Court Appointed - Fairfax County Page 2

REQUEST FOR COURT APPOINTED INTERPRETER

FOR CIVIL PROCEEDINGS IN THE CIRCUIT COURT

Date:

___________________________

Style of Case: ___________________________________

Versus

____________________________________ Case Number:________________

INTERPRETER NEEDED FOR:

Name: ________________________________

Relation to case: (please circle one) PLAINTIFF DEFENDANT WITNESS

Language needed: ____________________________

Date(s) Interpreter needed: __________________________

__________________________

Signature: ________________________________________

Counsel:

________________________________________ Phone: _____________

(If any)

************************************************************************

Judge’s Use Only

Request for Court Appointed Interpreter has been: ____Granted

____Denied

Comments:_____________________________________________________________

Date: ___________________

Signature: ________________________________

************************************************************************

Docket Clerk Use Only

Date request received: ________________

Interpreter assigned: __________________

Date interpreter called: _______________

Hired by: ___________________________

**PLEASE FORWARD TO DOCKET CLERK WHEN COMPLETED

CCR Form A-310

August 2009

Ccr Form A-310 - Procedures For Requesting A Court Appointed - Fairfax County Page 2