Request edit access
How prepared are you to comply with Section 1557 of A.C.A.?
We can help you evaluate your Language Access Plan
Email address *
Name *
Company Name *
Telephone # *
Section 1557 Assessment
Do you have the 4 Factor Analysis in place? *
2 points
Required
Do you have a Language Access Plan? *
1 point
Required
Is there any employee at your organization responsible for carrying out your Language Access Plan? *
1 point
Required
Do your L.E.P. (Limited English Proficiency) clients pay for language services? *
2 points
Required
Do your L.E.P. clients need to bring their own interpreters? *
2 points
Required
Are your L.E.P. clients been helped to communicate by your in-house bilingual staff? *
2 points
Required
Is your bilingual staff properly trained as qualified interpreters? *
2 points
Required
Which of these modalities for interpretation do you commonly use to assist your L.E.P. clients? *
1 point
Required
Which of these 15 recognized languages (for Connecticut) your organization will require assistance? *
Required
Would you like to receive more information on how we can help you create your Language Access Plan at no cost?
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Language Link Corporation. - Terms of Service - Additional Terms