CIRCUIT COURT
DISTRICT COURT OF MARYLAND FOR
City/County
Located at
Court Address
STATE OF MARYLAND
or
Plaintiff/Petitioner
vs.
Defendant/Respondent
REQUEST FOR SPOKEN LANGUAGE INTERPRETER
Name of Applicant:
Applicant is:
Defendant
Plaintiff
Attorney
Other:
Applicant requests the services of an interpreter in this case.
Type of court proceeding:
Criminal
Civil
Traffic
Juvenile
Other:
1. Hearing/Trial date:
2. Location of hearing/trial:
3. Language:
4. Dialect:
I understand that if I fail to appear in court and have not notified the court in writing at the above address
at least (2) business days prior to the trial/hearing date, I may be charged for the services of the interpreter
(a minimum of $70).
Date
Signature of Applicant/Applicant's Representative
Applicant/Applicant's Representative's Address
Telephone Number
Requests for interpreter should be received by the court at least two (2) weeks prior to the scheduled
trial/hearing date.
CC-DC 41 (Rev. 9/2005)
Time:
Defendant Witness
State Witness
Case No.
(Front)
__ CORTE DE CIRCUITO __ CORTE DE DISTRITO DE MARYLANDO PARA ______________________
Ciudad/Condado
Ubicada en ______________________________________________________________________
Dirección de la Corte
Número de Caso _____________________________
ESTADO DE MARYLAND
o
__________________________
versus
_____________________________
Demandante
Acusado
SOLICITUD PARA INTERPRETACIÓN DE IDIOMA HABLADO
Tipo de procedimiento judicial: __ Criminal __ Civil __ Tráfico __ Juvenil __ Otro: _____________
1. Fecha de audiencia/proceso: _____________________ Hora: ________________________
2. Lugar de audiencia/proceso: ___________________________________________________
3. Idioma: ___________________________________________________________________
4. Dialecto: _________________________________