Interpreting

If New Client - Referred by:

Ordering Attorney Name:

Your Name (required):

Your Email (required):

Telephone:

Case Name:

Type Of Proceeding:

Date To Appear:

Time To Appear:

Place To Appear:

Address To Appear:

Subject Matter or Type of Injury:

BILLING - INSURANCE COMPANY INFORMATION BELOW:

Insurance Company:

Adjuster's Name:

Adjuster's Email:

File Or Claim Number:

Must cancel within 2 full business days (48 hours) or minimum fee applies.

Click Each Checkbox To The Left To Agree To Terms
 1/2 Day Minimum 3 hours ($70 per hour - $210) OR
 Full Day Minimum 5 hours ($70 per hour - $350)

Click Each Checkbox To The Left To Agree To Terms
 Travel Charges: .60 cents per mile and $35.00 per hour for any time traveled over minimum billed. If travel charge falls within the minimum hours charged, the drive time is not billed.
 Cancellation/Re-Scheduling Policy: Must provide at least 2 business days (48 business hours) notice of cancellation. Otherwise, the minimum fee is billed.
 **I agree to all charges by submitting this request form.**

*Ruffin Consulting strives to avoid most travel charges by attempting to assign certified interpreters located in the area where they are to interpret.*

 Check here if Telephonic Translation Only. Rate is $1.10 per minute with a minimum fee of $35.00

Opposing Counsel Name:

Opposing Counsel Email Address:

Opposing Counsel Assistant's Email Address:

**Resume of Interpreter will be emailed to opposing counsel for approval of the specific Interpreter.**

Comments & Suggestions:

Attach Files:

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