This form is exclusively for requesting ASL interpreters for DMH Deaf Case Managers. Any other requests will be automatically rejected. Requests not for DMH Deaf Case Managers specifically can be sent to CMInterps@mass.gov.

Requestor Name(Required)
Meeting Date(Required)
Start Time(Required)
:
End Time(Required)
:
Is this an ongoing request?(Required)
Ongoing request frequency(Required)
Start Date(Required)
Start date for an ongoing request
End Date(Required)
End date for an ongoing request

NOTE: Please give the actual expected start and end times of the meeting.

Prep time and debrief time will be added on separately.

As a general rule, we schedule 15 minutes before the meeting and 15 minutes after for prep and debrief.

If the subject of a meeting is very heavy or unfamiliar, for example, more time can be requested.

Meeting Location(Required)
On-Site Meeting Address(Required)
*Please attach any available agenda, PPTs, presentation outlines or other materials for this meeting. * If the meeting is client-focused, please provide the name of the person receiving services.
Drop files here or
Max. file size: 50 MB.
    Is there an Interpreter or team of Interpreters you think are a good fit for this assignment(Required)

    Deaf Interpreters (DI). In some cases, a DI might be helpful to facilitate better access. DIs are interpreters who are themselves Deaf and are language experts. They work in tandem with hearing ASL interpreters and/or Deaf Case Managers to provide language access for people who do not have ‘standard’ ASL. Deaf Case Managers usually know which clients will need a DI on the team.

    Are Deaf Interpreters needed for this meeting?(Required)
    I.e DeafBlind/low vision, immigrant just learning ASL, CART, spoken non-English language, and so forth