Departmental and Campus Event Sign Language Interpreter / Captioning Services Request

This form is for requesting a sign language interpreter or captioning services for departments and/or campus events. If you are a student requesting service, please use the Interpreter Captioning Request Form for Students. All information requested on this form is necessary to secure services. To secure services, this form should be submitted as far in advance as possible, but at least three business days in advance of the requested date of service.

Last minute requests cannot be guaranteed, though attemps will always be made to secure interpreting/captioning services. If you cancel services, you must do so at least 24 hours in advance to avoid any charges. Email Lauren Kinast (lkinast@mail.utexas.edu) if you have any questions about the request or the need to cancel services.

All fields are required.

Departmental and Campus Event Sign Language Interpreter Services Request
Name/Contact Person:
Email:
Dept:
College:
Phone Number:
Acct #:
Name of consumer using services or client:
Type of Service Requesting:	Interpreting Captioning
Event Name:
Event Date:	Month: Day: Year:
Event Time Start:	Hour: Minute: AM/PM:
Event Time End:	Hour: Minute: AM/PM:
Event Location:
Description of Request: (Please submit copies of script, Agenda/Schedules, etc.)