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Classroom Interpreter/Transcriber Request Form

By submitting this I agree to the following:

  1. I understand that I must request interpreter/captioning services in writing with specific times and places itemized.
  2. I understand that it is my responsibility to inform the LAP office in advance whenever I will be absent so they may contact the interpreter/captionist.
  3. I understand that if I miss class three times without prior notification, services may be terminated until I request in writing for them to be reinstated.
Phone Type
Term
Preferred Communication Mode
I agree to the terms of services listed above