INTERPRETING SERVICESINTERPRETING SERVICES
Disability Services
Box 70605
Johnson City, TN 37614
(423)439-8346/8370 (v/tdd)
(423)439-8489 (fax)
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Interpreter: |
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SS#: |
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Address: |
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Phone: |
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Student Name |
Date of Service |
Actual Time (i.e. 1-3:30 pm) |
Total Hours |
Fee Per Hour |
Total Due |
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Student Name: |
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Interpreter Signature: |
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Student SS#: |
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Date Signed: |
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Date Signed: |
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S://studentaffairs/disability/share/forms/logsheet Interpreter and Revised 8/04
www.etsu.edu/students/disable/logsheet%20interpreter.htm