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Interpreter Request Notice Form
Interpreter Request Notice Form
Interpreter Request Notice
The Judiciary has a responsibility to ensure those with limited English proficiency (LEP) and those who are deaf or hard of hearing are not at a disadvantage to fully exercise their right to due process under the law.
Name of Person Requiring Interpreter
Date of Request
Date Format: mm/dd/yyyy
Case Description
Magisterial District Court
Civil
Criminal
Juvenile
Petitioner/Plaintiff Name (Complete for Civil Only)
Defendant/Respondent Name
Case Number
Hearing Date
Date Format: mm/dd/yyyy
Start Time
End Time
Hearing Location
Please select a location
Adams County Courthouse - CR 1
Adams County Courthouse - CR 2
Adams County Courthouse - CR 3
Adams County Courthouse - CR 4
Adams County Courthouse/3rd floor conference room
Adams County Human Services Bldg - Main CR
Adams County Human Services Bldg - Suite 800 CR
Adams County Human Services Bldg - Suite 900 CR
51-3-01 office
5103-02 office
51-3-03 office
51-3-04 office
Domestic Relations Office
Probation Services Office
Type of Hearing
Relationship to Case
Defendant/Respondent
Victim
Juvenile
Petitioner/Plaintiff
Witness
Parent/Person in loco parentis
Other
If other, please enter below the relationship to the case.
Language
Spoken Language
Dialect (if applicable)
Country of Origin
Deaf/Hard of Hearing: American Sign Language
Other Non-ASL Type
Requestor’s Name
Requestor’s Phone
Requestor’s Email
Rules of Conduct
In accordance with Act 172 of 2006 [42 Pa.C.S. §§ 4411(e) and 4431(e)], the Court Administrator of Pennsylvania has established Rules of Professional Conduct for Judiciary Interpreters in the Unified Judicial System of Pennsylvania. To learn more about these Rules, please visit the Interpreter Rules of Conduct page established by the Unified Judicial System.