Interpreting and Captioning Services Quarterly Request Form
This is the DHHS Quartely Request form. Please fill this out as soon as you register in order to request interpreting/captioning services. Failure to fill this form out may result in not having an interpreter or captioning in your classes.
Which service(s) will you be using?
Services selected are based on the approved accommodation(s) from your DSS counselor.
Name:
Your answer
CWID:
Your answer
Cell/Text:
Your answer
Email:
Your answer
Quarter:
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