HomeMy WebLinkAboutComplaint Report Form Against Interpreter fillable
Please read the Complaint Form Instructions before you fill out this form. There is NO CHARGE
for making a report.
The report must be about how the interpreter performed or acted when they were interpreting
or if they have done something described in the Instructions section called “What can you
report about”. If possible, please talk to court staff or the interpreter about the problem before
sending in this form. If that does not resolve the problem, please fill out the rest of this form.
If you need the Complaint Report Form translated or interpreted or if you wish to give a report
over the telephone, please contact the Court Interpreter Program at:
Interpreters@courts.wa.gov or 206-705-5279.
Name ________________________________________________________________________________
First Middle Last
Address _______________________________________________________________________________
Street City State Zip Code
Main Phone_________________ Other Phone__________________ Email______________________
Language Involved:______________________________________________________________________
Name _________________________________________________________________________________
First Middle Last
Address ________________________________________________________________________________
Street City State Zip Code
Main Phone_______________ Other Phone__________________ Email________________________
What is your relationship to the person with the complaint?
______________________________________________________________________________
Information for Person with the Complaint
(if you are filling out this form for someone else, please see the next section)
Information for Person Filling Out Form
(if the person is different from the person with the complaint)
Washington State Administrative Office of the Courts
Court Interpreter Program
Spoken Language Interpreter
Complaint Report Form
Please give us as much information as you can about the interpreter.
Interpreter Name________________________________________________________________________
First Last
Please give us as much information as you can about the court where the problem took place.
Court Name______________________________ Judge Name ___________________________________
Court Address __________________________________________________________________________
Street City State Zip Code
Your Case Number______________________ Date of Court Hearing or Appearance__________________
Please tell us as much as you can about what happened. Add any documents that will help tell us about
the problem and support the report.
If you can, please include information about:
Problems with how the interpreter interpreted
Problems with how the interpreter acted
Any report you made to court staff or anyone else
Any other person who might have seen the problem happen, or
What you know about the interpreter that can be reported as described in the Instructions
Interpreter Information
Report
I have read the complaint and believe it to be true.
Your Signature_________________________________________________ Date _____________________
Please send the Complaint Report Form and any other supporting documents or information to:
Court Interpreter Program
Office of Court Innovation
Administrative Office of the Courts
PO Box 41170
Olympia, WA 98504-1170
Signature
Updated 7/7/17