Form AOC-INT-4 "Court Interpreting Services Certification Request Form for Criminal Background Check" - Kentucky

What Is Form AOC-INT-4?

This is a legal form that was released by the Kentucky Court of Justice - a government authority operating within Kentucky. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on March 1, 2019;
  • The latest edition provided by the Kentucky Court of Justice;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form AOC-INT-4 by clicking the link below or browse more documents and templates provided by the Kentucky Court of Justice.

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Download Form AOC-INT-4 "Court Interpreting Services Certification Request Form for Criminal Background Check" - Kentucky

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AOC-INT-4
Rev. 3-19
Page 1 of 1
l e x
e t
j u s t i t i a
Commonwealth of Kentucky
Court of Justice
www.courts.ky.gov
Office of Language Access
AP IX, Sec. 9; Sec. 10;
Certification Request Form for
KRS 164.772
Criminal Background Check
The process to obtain Kentucky criminal background checks through the CourtNet Disposition System
is as follows:
This request for a criminal background check is for the purpose of obtaining an interpreter certification
with the Kentucky Court of Justice. Completely fill out this form and return to the address below. If you
have any questions, please contact Office of Language Access at (502) 573-2350 or (800) 928-2350.
PLEASE PRINT
Last Name
First Name
MI
SSN
DOB:
Mo
Day
Year
Alias/Maiden
Address
City
State
Zip
E-mail Address
Telephone Number
(include area code)
Under KRS 164.772, the Administrative Office of the Courts may not issue or renew a certification or qualification
for the provision of interpreting services to any individual who is in default or is otherwise not meeting the
repayment obligation of any financial assistance program administered by the Kentucky Higher Education
Assistance Authority (KHEAA).
Certification of Repayment Status of Student Loan(s) Administered by Kentucky Higher Education
Assistance Authority (KHEAA)
A. q I do not have a student loan obligation administered by KHEAA.
B. q I have a student loan administered by the KHEAA. I am not in default of said loan. I am meeting my
repayment obligation under the financial assistance program.
___________________________________________
_______________________________
Signature
Date
Print
Reset Form
Mail to: Administrative Office of the Courts
Office of Language Access
1001 Vandalay Drive
Frankfort, Kentucky 40601
AOC-INT-4
Rev. 3-19
Page 1 of 1
l e x
e t
j u s t i t i a
Commonwealth of Kentucky
Court of Justice
www.courts.ky.gov
Office of Language Access
AP IX, Sec. 9; Sec. 10;
Certification Request Form for
KRS 164.772
Criminal Background Check
The process to obtain Kentucky criminal background checks through the CourtNet Disposition System
is as follows:
This request for a criminal background check is for the purpose of obtaining an interpreter certification
with the Kentucky Court of Justice. Completely fill out this form and return to the address below. If you
have any questions, please contact Office of Language Access at (502) 573-2350 or (800) 928-2350.
PLEASE PRINT
Last Name
First Name
MI
SSN
DOB:
Mo
Day
Year
Alias/Maiden
Address
City
State
Zip
E-mail Address
Telephone Number
(include area code)
Under KRS 164.772, the Administrative Office of the Courts may not issue or renew a certification or qualification
for the provision of interpreting services to any individual who is in default or is otherwise not meeting the
repayment obligation of any financial assistance program administered by the Kentucky Higher Education
Assistance Authority (KHEAA).
Certification of Repayment Status of Student Loan(s) Administered by Kentucky Higher Education
Assistance Authority (KHEAA)
A. q I do not have a student loan obligation administered by KHEAA.
B. q I have a student loan administered by the KHEAA. I am not in default of said loan. I am meeting my
repayment obligation under the financial assistance program.
___________________________________________
_______________________________
Signature
Date
Print
Reset Form
Mail to: Administrative Office of the Courts
Office of Language Access
1001 Vandalay Drive
Frankfort, Kentucky 40601