Let’s schedule interpreting or captioning services

Thanks for choosing Deaf Services Unlimited. We can’t wait to work with you, and we’re ready to make conversations happen.

Use this form to fill out basic contact information, select your needed service and time. We’ll get back to you same business day and help fill your requested needs.

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Requestor Information

New to DSU? No problem. Fill out basic contact information, select your needed service and time. We’ll get back to you same business day and help fill your requested needs!

Name of Company or Organization*

Have you used our services before?*

Requester Name*

First Last

Requester Phone*

Please list a phone number with extension where you can be reached directly if quick access or clarification is needed.

Extension

Billing Location*

City State

Requester Email*

Enter Email Confirm Email

All communication regarding this request will be sent to this email.

Appointment Details

Type of Services Requested*

If on-site interpreting services are not available, are video remote interpreting services an alternative option?*

Would you like to provide a videoconferencing link?

DSU will provide a videoconferencing link for all video remote interpreting requests. If you have an existing link you prefer to use, please paste it above.

Name of Deaf Client*

Is the Deaf Client receiving services in any of the following states?*

Date of Appointment*

To avoid the cancellation policy, including changes to the date or time, please provide at least 2 business days’ notice.

Start Time Interpreter Needed*

Start Time CART Writer Needed*

End Time Interpreter Needed*

End Time CART Writer Needed*

Frequency of Appointment*

Is this a recurring appointment with additional dates and times?

Describe the Frequency of this Request

Please list additional dates and times.

Timezone*

Location Name*

Exact Address of Appointment*

Street Address Address Line 2 City State ZIP Code

Department, Building, Suite or Floor Number

Additional Details

Type of Appointment/Meeting/Event*

Additional Request Details

Will this Meeting be Recorded?*

Additional Location Information (security, parking, etc.)

Other Attendees and Their Role(s)

PO or Routing Code Number

If Requested, Name of Preferred Interpreter

If Requested, Name of Preferred Captioner

Relevant Materials

Max. file size: 128 MB.

Please attach relevant agendas, handouts, presentation slides, case files, etc.

How did you hear about us?*

Please Describe*

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Request Life Cycle

New to requesting communication access services? Watch this short video to see the journey your request will take.

Schedule an interpreter or captioner

Let’s schedule interpreting or captioning services

Requestor Information

Appointment Details

Additional Details

Request Life Cycle

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