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Sign Language Interpreter Request

* Required fields

Contact Info

* Company/Organization Name:
Industry:
* First Name:
* Last Name:
* Email Address:
*Phone: Ext.
(full 10-digit number - numbers only)
On Site Contact Name:
(if different than above)
On Site Contact Email:
(if different than above)
On Site Contact Phone: Ext.
(if different than above)

Assignment Details

* Assignment Description
(be specific in order for us to schedule an appropriately skilled Interpreter)

* Name of Deaf/Hearing Impaired Participant
If general audience please enter the number of expected participants



* Assignment Date/Time:
* Start Date:
 * End Date
 * Start Time
 * End Time

Assignment Date/Time:
Start Date:
 End Date
 Start Time
 End Time

Assignment Date/Time:
Start Date:
 End Date
 Start Time
 End Time

* Assignment Address:
Address:
City: State: Zip:

Nearest Metro/Intersection/Helpful Directions:


Is there parking available?: Yes (Paid) Yes (Free) No
If paid, how much?: Per hour Per day
Language Preference: ASL PSE     Other:
Televised or Video Taped?: No Yes
Interpreter Preference:
(if none leave blank)

Payment Info

Will you be paying by: Check Credit Card
A PO# or Req# must be entered for processing

Additional Information

Further instruction/Notes:


 

Request Form Instructions/Policies

  • Scheduled time will be invoiced for cancellations made less than three (3) business days prior to the assignment. All cancellations must be submitted in writing.
  • A two (2) hour minimum applies to all requests.
  • Any assignment heavy in content or lasting longer than two (2) hours will require two (2) Interpreters, unless otherwise stated.
  • Appropriate break periods must be provided for assignments that are intensive in nature. A ten (10) minute break after the first fifty (50) minutes is appropriate. This will ensure the quality of service.
  • If one (1) interpreter is confirmed and performs the work for a second interpreter that is not available, the assignment will be billed for two (2) interpreters. The interpreter that performed the work for two (2) interpreters will bill Graham for the work of two (2) interpreters.
  • Payment is due upon receipt of invoice. Please contact Graham immediately if invoice billing information changes or appears in error.
  • To verify receipt, please call Adina Imes at (202) 861-1260.

 
 

 

Refund Policy
Graham Staffing Services, Inc. has a strict no refund policy for Sign Language services.

Pricing Structure
Sign Language requests are billed on an hourly basis. Rates vary based on notice given, videotaped/televised and weekends/holidays. Please contact Adina Imes at 202-861-1260 for a price quote.

Terms and Conditions
Full payment is due upon receipt of the invoice once the requested service has been completed.

Any discrepancies with the total amount listed on the invoice must be submitted in writing to info@grahaminc.com.