"Court Interpreter Invoice" - Arkansas

Court Interpreter Invoice is a legal document that was released by the Arkansas Judiciary - a government authority operating within Arkansas.

Form Details:

  • Released on September 1, 2017;
  • The latest edition currently provided by the Arkansas Judiciary;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Arkansas Judiciary.

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Download "Court Interpreter Invoice" - Arkansas

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O
C
I
S
FFICE OF
OURT
NTERPRETER
ERVICES
C
I
I
OURT
NTERPRETER
NVOICE
T
(
),
HE COMPLETED INVOICE MUST BE RECEIVED EITHER AT THE CONCLUSION OF THE ASSIGNMENT
SAME DAY
5
.
OR NO LATER THAN BY THE
TH DAY OF THE MONTH FOLLOWING THE ASSIGNMENT
Submit to OCIS for payment by one of the two following methods:
Email: aoc.ocis.invoices@arcourts.gov -or- U.S. Mail: Attn.: AOC OCIS 625 Marshall St., Little Rock, AR 72201
I
M
C
S
I, II,
III. J
S
IV. AOC OCIS
S
V.
NTERPRETER
UST
OMPLETE
ECTIONS
AND
UDGE TO COMPLETE
ECTION
TO COMPLETE
ECTION
*S
I, II,
III
I
*
ECTIONS
AND
MUST BE COMPLETED BY
NTERPRETER
S
I: C
I
I
ECTION
ONTRACTED
NTERPRETER
NFORMATION
Name: _______________________________________________
Language: _____________________________________
Street Address: ________________________________________
City/State/Zip: _________________________________
Email: ________________________________________________
Phone: _______________________________________
Check One: ☐ Certified Court Interpreter
☐ Registered Court Interpreter
☐ Candidate for Court Certification
S
II: C
/C
I
ECTION
ASE
OURT
NFORMATION
Date of Assignment: ______________________________________
IMSS Order Number: ____________________________
Select One: ☐ On-Site ☐ Remote
Select One: ☐ District Court ☐ Circuit Court
Judge’s Name: ___________________________________________
Court Location (City): ____________________________
Total Number of Limited English Proficient (LEP) Individuals Interpreted For: ____________
If interpreter services were not utilized, state the reason: ________________________________________________________
(e.g., FTA, Cancellation, Case Settled/Reset, Interpreter Services Not Needed)
S
III: B
F
ECTION
ILLABLE
EES
ARRIVAL TIME: _________
END TIME: __________
TOTAL TIME: __________
Interpreting Fee: $ ___________
(rounded to nearest quarter hour)
Cancellation Fee: $ ___________
Travel Time
____________ @ $20.00 an hour
(in minutes)
(Certified Interpreters ONLY)
(If Applicable)
Travel Time
____________ @ $10.00 an hour
(in minutes)
(Candidates with Pre-Approval ONLY)
Travel Time Fee: $ ___________
Travel Time
____________ @ $30.00 an hour
(in minutes)
(Sign Language ONLY)
(If Applicable)
(e.g., Correct: 90 minutes -- Incorrect: 1.5)
Total Miles: _____________ (roundtrip) x $0.42 / mile = ____________________
Mileage Fee:
$ ___________
(Foreign Language ONLY)
(If Applicable)
Miscellaneous
Miscellaneous Travel Expenses: ____________________
Travel Expenses: $ ___________
(OCIS Pre-Approval Required)
(If Applicable)
TOTAL INVOICE: $ ___________
I certify that I performed the interpreter services as indicated above and that the information provided is correct.
I
S
: _____________________________________________
NTERPRETER
IGNATURE
D
ATE
_____________________
S
IV: P
J
S
– R
ON-SITE A
O
ECTION
RESIDING
UDGE
S
IGNATURE
EQUIRED FOR
SSIGNMENTS
NLY
I certify that the interpreter appeared in my court on the date indicated above.
P
J
S
: _______________________________________________
RESIDING
UDGE
IGNATURE
DATE: __________________
S
V: AOC O
C
I
S
S
U
O
ECTION
FFICE OF
OURT
NTERPRETER
ERVICES
TAFF
SE
NLY
APPROVED BY OCIS STAFF
: _______________
KEYED IN EXCEL OCIS DATABASE BY
: _______________
(initial)
(initial)
Rev AOC 09/2017
O
C
I
S
FFICE OF
OURT
NTERPRETER
ERVICES
C
I
I
OURT
NTERPRETER
NVOICE
T
(
),
HE COMPLETED INVOICE MUST BE RECEIVED EITHER AT THE CONCLUSION OF THE ASSIGNMENT
SAME DAY
5
.
OR NO LATER THAN BY THE
TH DAY OF THE MONTH FOLLOWING THE ASSIGNMENT
Submit to OCIS for payment by one of the two following methods:
Email: aoc.ocis.invoices@arcourts.gov -or- U.S. Mail: Attn.: AOC OCIS 625 Marshall St., Little Rock, AR 72201
I
M
C
S
I, II,
III. J
S
IV. AOC OCIS
S
V.
NTERPRETER
UST
OMPLETE
ECTIONS
AND
UDGE TO COMPLETE
ECTION
TO COMPLETE
ECTION
*S
I, II,
III
I
*
ECTIONS
AND
MUST BE COMPLETED BY
NTERPRETER
S
I: C
I
I
ECTION
ONTRACTED
NTERPRETER
NFORMATION
Name: _______________________________________________
Language: _____________________________________
Street Address: ________________________________________
City/State/Zip: _________________________________
Email: ________________________________________________
Phone: _______________________________________
Check One: ☐ Certified Court Interpreter
☐ Registered Court Interpreter
☐ Candidate for Court Certification
S
II: C
/C
I
ECTION
ASE
OURT
NFORMATION
Date of Assignment: ______________________________________
IMSS Order Number: ____________________________
Select One: ☐ On-Site ☐ Remote
Select One: ☐ District Court ☐ Circuit Court
Judge’s Name: ___________________________________________
Court Location (City): ____________________________
Total Number of Limited English Proficient (LEP) Individuals Interpreted For: ____________
If interpreter services were not utilized, state the reason: ________________________________________________________
(e.g., FTA, Cancellation, Case Settled/Reset, Interpreter Services Not Needed)
S
III: B
F
ECTION
ILLABLE
EES
ARRIVAL TIME: _________
END TIME: __________
TOTAL TIME: __________
Interpreting Fee: $ ___________
(rounded to nearest quarter hour)
Cancellation Fee: $ ___________
Travel Time
____________ @ $20.00 an hour
(in minutes)
(Certified Interpreters ONLY)
(If Applicable)
Travel Time
____________ @ $10.00 an hour
(in minutes)
(Candidates with Pre-Approval ONLY)
Travel Time Fee: $ ___________
Travel Time
____________ @ $30.00 an hour
(in minutes)
(Sign Language ONLY)
(If Applicable)
(e.g., Correct: 90 minutes -- Incorrect: 1.5)
Total Miles: _____________ (roundtrip) x $0.42 / mile = ____________________
Mileage Fee:
$ ___________
(Foreign Language ONLY)
(If Applicable)
Miscellaneous
Miscellaneous Travel Expenses: ____________________
Travel Expenses: $ ___________
(OCIS Pre-Approval Required)
(If Applicable)
TOTAL INVOICE: $ ___________
I certify that I performed the interpreter services as indicated above and that the information provided is correct.
I
S
: _____________________________________________
NTERPRETER
IGNATURE
D
ATE
_____________________
S
IV: P
J
S
– R
ON-SITE A
O
ECTION
RESIDING
UDGE
S
IGNATURE
EQUIRED FOR
SSIGNMENTS
NLY
I certify that the interpreter appeared in my court on the date indicated above.
P
J
S
: _______________________________________________
RESIDING
UDGE
IGNATURE
DATE: __________________
S
V: AOC O
C
I
S
S
U
O
ECTION
FFICE OF
OURT
NTERPRETER
ERVICES
TAFF
SE
NLY
APPROVED BY OCIS STAFF
: _______________
KEYED IN EXCEL OCIS DATABASE BY
: _______________
(initial)
(initial)
Rev AOC 09/2017