Request for Court Interpreter (Solicitud para Intérprete) 

ame (Nombre) 

ddress (Domicilio) 

hone (Teléfono) 

mail (Correo electrónico) 

ity, State, Zip (Ciudad, Estado, Código postal) 

File this form with the clerk of the court in which the case is pending at least 3 days 
before the hearing or it may have to be postponed. 

(Presente este formulario a la secretaria judicial en el tribunal donde esta pendiente el 
caso por lo menos 3 días antes de la audiencia, o sea que resultará en un 
aplazamiento) 

I do not understand or communicate in English, and I request an interpreter. 
(Yo no entiendo ni puedo comunicarme en Ingles, y solicito un intérprete) 

I speak Spanish.  (Yo hablo español) 

Please provide the following information if you know it: 

(Por favor proporcione la información a seguir, si es que la sabe) 

  N

  A

  C

  P

  E

1. 

2. 

3. 

ate and Time of Next Hearing (Fecha y Hora de la próxima audiencia) 

ase Name (Nombre de Caso) 

ase Number (Número de Caso) 

udge Assigned to Case (Juez asignado al Caso) 

  C

  C

  J

  D

4. 

Person who needs the interpreter: 

(Persona quien necesita el intérprete) 

[  ]  Me (Yo) 

[  ]  My witnesses (Mis testigos) 

Name (Nombre) 

Date (Fecha) 
 

Revised May 1, 2019 
 

Sign here ► 
(Firme aquí) ► 
Typed or Printed Name 
(Nombre con letra de molde) 

 

 

 

Request for Court Interpreter (Solicitud para Intérprete) 

Page 1 of 2 

Certificate of Service 

I certify that I filed with the court and am serving a copy of this Request for Court Interpreter (Solicitud 
para Intérprete) on the following people. 

Person’s Name 

Service Method 

Service Address 

Service 
Date 

[  ]  Mail 
[  ]  Hand Delivery 
[  ]  E-filed 
[  ]  Email 
[  ]  Left at business (With person in charge 

or in receptacle for deliveries.) 

[  ]  Left at home (With person of suitable 

age and discretion residing there.) 

[  ]  Mail 
[  ]  Hand Delivery 
[  ]  E-filed 
[  ]  Email 
[  ]  Left at business (With person in charge 

or in receptacle for deliveries.) 

[  ]  Left at home (With person of suitable 

age and discretion residing there.) 

[  ]  Mail 
[  ]  Hand Delivery 
[  ]  E-filed 
[  ]  Email  
[  ]  Left at business (With person in charge 

or in receptacle for deliveries.) 

[  ]  Left at home (With person of suitable 

age and discretion residing there.) 

 

 

 

 

 

 

 
Date 

Signature ► 

Printed Name 

 

 

Revised May 1, 2019 

Request for Court Interpreter (Solicitud para Intérprete) 

Page 2 of 2