Form NIH-75 "Request for Translating Service"

What Is Form NIH-75?

This is a legal form that was released by the U.S. Department of Health and Human Services - National Institutes of Health on October 1, 2012 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on October 1, 2012;
  • The latest available edition released by the U.S. Department of Health and Human Services - National Institutes of Health;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form NIH-75 by clicking the link below or browse more documents and templates provided by the U.S. Department of Health and Human Services - National Institutes of Health.

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Instructions: Print a copy of this form. Complete one form for each article.
Forward copies of both the form and article to:
Translation Unit, NIH Library
Telephone: (301) 496-2257
Request for Translating Service
Bldg 10, Rm. 1L09J
Fax: (301) 402-0254
Notice: A paper copy of each translation will be retained in the Translation Unit.
Personal documents will be discarded after five years, items with citations will be held
indefinitely for fair use, unless prohibited by the requestor.
Name
Date of Request
Institute or Center
Building and Room
Phone No
Signature of Approving Officer (who is authorized to approve expenditure and who
Common Account Number (Only for written translations to
certifies that this translation is essential to the research effort of NIH) (Only for
be contracted out)
written translations to be contracted out)
Material to be Translated
Author
Title of Article
Name of Journal
Volume
Issue
Page Numbers
Date of Issue
Type of Translation Desired
Check One:
Deadline (if any) for Translation Only written translations to be contracted out require approval by the designated
approving officer and a Common Account Number.
Oral (In Person)
Oral service is available in French, German, Italian, Russian, and Spanish.
Oral (Recorded)
Oral (in person) requires advance appointment.
Written
Oral (recorded on cassette) is filled like a regular request.
Other Instructions:
For NIH Library Use Only
Date Received
File Checked
Requested from ILL
Received from ILL
ACTION
DATE
HOURS
DAYS
Translated by
(Started/Mailed)
Translated by
(Completed/Received)
Reviewed by
Returned to
Received
Language
Special Date
Due Date
Number of Words
Routine Date
Max. Charge
NIH 75 (10/12)
Instructions: Print a copy of this form. Complete one form for each article.
Forward copies of both the form and article to:
Translation Unit, NIH Library
Telephone: (301) 496-2257
Request for Translating Service
Bldg 10, Rm. 1L09J
Fax: (301) 402-0254
Notice: A paper copy of each translation will be retained in the Translation Unit.
Personal documents will be discarded after five years, items with citations will be held
indefinitely for fair use, unless prohibited by the requestor.
Name
Date of Request
Institute or Center
Building and Room
Phone No
Signature of Approving Officer (who is authorized to approve expenditure and who
Common Account Number (Only for written translations to
certifies that this translation is essential to the research effort of NIH) (Only for
be contracted out)
written translations to be contracted out)
Material to be Translated
Author
Title of Article
Name of Journal
Volume
Issue
Page Numbers
Date of Issue
Type of Translation Desired
Check One:
Deadline (if any) for Translation Only written translations to be contracted out require approval by the designated
approving officer and a Common Account Number.
Oral (In Person)
Oral service is available in French, German, Italian, Russian, and Spanish.
Oral (Recorded)
Oral (in person) requires advance appointment.
Written
Oral (recorded on cassette) is filled like a regular request.
Other Instructions:
For NIH Library Use Only
Date Received
File Checked
Requested from ILL
Received from ILL
ACTION
DATE
HOURS
DAYS
Translated by
(Started/Mailed)
Translated by
(Completed/Received)
Reviewed by
Returned to
Received
Language
Special Date
Due Date
Number of Words
Routine Date
Max. Charge
NIH 75 (10/12)