Fairfax Interpreter Request Form – Fill Out and Use This PDF

Updated: Nov 12, 2026

The Fairfax Interpreter Request Form serves as a crucial tool for ensuring accessible communication within Fairfax County Public Schools. It is designed for use by principals or program managers to request sign language interpreter services for employees, or through the Office of Employment Services for applicants, ensuring that meetings and events are inclusive. To facilitate a smooth and accommodating experience for all, it's important to submit this form at least seven working days before the needed date.

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Fairfax Interpreter Request Form PDF Details

In our increasingly diverse society, ensuring that every individual has access to necessary services in their preferred language is not just a courtesy; it's a legal and moral imperative. The Fairfax Interpreter Request Form serves as a crucial tool in this endeavor, particularly within the realm of education. Developed by the Fairfax County Public Schools' Office of Equity and Compliance, the form facilitates the provision of interpreter services for employees and applicants who are deaf or hard of hearing. This document, which must be submitted by a principal or program manager—preferably at least seven working days before the required date—captures essential details such as the requester's information, the person in need's details, and specific service information including the date, location, and type of service needed. Embedded within this process is the underlying goal of fostering inclusivity and ensuring equitable access to educational opportunities and services, by bridging communication gaps. This form not only highlights the county's commitment to compliance with federal and state laws regarding disability and non-discrimination but also underscores the importance of tailored communication solutions that respect individual preferences and needs.

Question	Answer
Form Name	Fairfax Interpreter Request Form
Form Length	1 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	15 sec
Other names	Fairfax, Gatehouse, ASL, TTY

How to Fill Out Interpreter Request Form

Interpreter Request Form at a glance

What it is: The Interpreter Request Form is submitted by a principal or program manager for an employee needing a sign language interpreter for a Fairfax County Public Schools meeting or event.

Where and when to file: Submit the Interpreter Request Form at least seven working days prior to the event.

A filled-in Interpreter Request Form example: a principal requests an interpreter for an employee

Interpreter Request Form example filled out, example: a principal requests an interpreter for an employee — Dana Sample, a principal, submits the Interpreter Request Form. The employee needs a sign language interpreter for a meeting, so Applicant stays empty. The picture shows the filled form, and all its values are invented. The date needed is more than seven working days after Today's Date.

How to fill out Interpreter Request Form, box by box

Applicant or Employee

Mark Applicant or Employee.

Any applicant needing interpreter services should ask the Office of Employment Services to submit this form.

Requester information

Enter Today's Date. Under Requester Information (Principal or Program Manager), enter the Name, Position, Worksite, Phone Number and Fax Number.

Enter the Alternate Contact Name and the Phone Number.

Person needing service

Under Information for Person Needing Service, enter the Name, Employee ID No., Worksite, Office Hours, Email Address and Fax Number.

Enter the Communication Preference, any Other Information and the Interpreter Preference if Available.

Service information

Under Service Information, enter the Description, Date Needed, Location, Start Time and End Time.

Enter the Onsite Contact, the Onsite Phone Number/s and the Parking Directions.

Common questions about Interpreter Request Form

Is there a deadline?

Submit the Interpreter Request Form at least seven working days prior to the event.

Sources

[1] Interpreter Request Form, Fairfax County Public Schools Office of Equity and Compliance (printed 07/08/2021; the served file; no issuer file found) (the Official source link on this page).