Interpreter Request Form

Happy New Year! We look forward to serving you. -DAC Interpreting Team

Request Information






Requester Contact Information






Request Details


Check more than one if requesting different types of interpreters





Put NA if Not Applicable





Appointment Details












































Please note the time requested will be considered billable time.

What Kind of appointment will be taking place? Examples could be: A Visit to the ER for broken foot, or a cosmetology class focused on coloring. (PLEASE DO NOT WRITE ASL SERVICES IN THIS BOX)















Deaf Client Information










no need to enter if you do not know this information

no need to enter if you do not know this information

Needs Name, Phone, and Email address (If Possible)











Questions, Comments, Concerns? Contact us here: 
Comm.Access@dactexas.org
For EMERGENCY requests only during after hours, call 469-236-5868
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All requests, cancellations, and/or communication made during after-hours will be responded to the next business day.
Please share any agendas, building maps, or additional information with the interpreters by sending them directly to us at comm.access@dactexas.org. 
Please be aware that jobs cancelled less than 48 Business hours prior to the start time are considered fully billable, and will be processed as fully billable.
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Business hours are 8:00am-4:30pm Monday - Friday, excluding Holidays below 
New Year’s Day, Martin Luther King Jr. Day, Good Friday,  Memorial Day, Juneteenth, Independence Day, Labor Day, Thanksgiving, Christmas Eve, and New Year’s Eve