Interpreting Services Interest Form Interpreting services can be arranged by calling the 24/7 Helpline at 419-522-4357 or filling out the form below. Your Name (First and Last) Your Phone Number Your Email Provider Name such as business, company, hospital, organization ect. Date of Service (If your request is within 24 hours of service date, please call helpline at 419-522-HELP) Start Time of the Assignment (AM or PM) Estimated Length of Assignment in hours Name of Deaf/DeafBlind/Hard of Hearing Individual Street Address Line 1 (Location of Assignment) Street Address Line 2 (Room Number, Apt Number) City, State, Zip (Location of Assignment) Appointment Type CommunityDeafBlindDrug/AlcoholEducationLegalMedicalMental HealthVictim ServicesVocationalOther Onsite Contact Person Onsite Contact Phone Onsite Contact Email Additional Details After hitting 'submit', you will be contacted within 1 Business Day. If your request is within 24 hours of date of service, please call helpline at 419-522-4357 (HELP). We are here to help!