Book an interpreter / Request a quote

I need to book an interpreter for:

VIDEO MAIL

WEBSITE BOOKING FORM - DEAF PARENTS AT SCHOOL 3

WEBSITE BOOKING FORM - DEAF PARENTS AT KURA (SCHOOL)

YOUR FULL NAME

The name of the person requesting for this service

First Name

Last Name

CONTACT INFORMATION

How can we contact you to confirm your booking or ask more information?

ORGANISATION

Which organisation are you from?

DEAF CLIENTS NAME (PARENT/CAREGIVER)

This service is only eligible for parents/caregivers attending a meeting or event that involves at child who is registered at the school.

DATE YOU REQUIRE AN INTERPRETER?

START AND END TIME?

NAME OF KURA/SCHOOL

KURA (SCHOOL) ADDRESS

Please check google maps go get the accuracy details.

NAME OF CHILD ENROLLED AT THE KURA (SCHOOL)

This service is only eligible for parents/caregivers attending a meeting or event that involves at child who attends the school.

APPOINTMENT TYPE

EXTRA INFORMATION FOR THE INTERPRETER, SUCH AS:

Please provide extra information you would like us to know.

DETAILS ABOUT THE BOOKING

DEAF PARENT/CAREGIVERS ETHNICITY

IF YOU SELECTED "OTHER ETHNICITY", PLEASE SPECIFY YOUR ETHNICITY

DO YOU HAVE A PREFERRED INTERPRETER?

If your preferred interpreter is not available, are you happy to have other available interpreters? Is there an interpreter you specifically do not wish to book?

HOW DID YOU COME TO KNOW ABOUT WORDSWORTH?

WHERE SHOULD THE INTERPRETER REPORT TO?

WEBSITE BOOKING FORM - ACC 3

WEBSITE BOOKING FORM - MEDICAL APPOINTMENT (ACC ONLY)

YOUR FULL NAME

If you are booking on behalf of the Deaf client, please indicate your name

First Name

Last Name

CONTACT INFORMATION

How can we contact you to confirm your booking or ask more information?

ORGANISATION

Which organisation are you from?

DEAF CLIENTS NAME

DATE YOU REQUIRE AN INTERPRETER?

START AND END TIME?

ADDRESS OF THE APPOINTMENT

ADDITIONAL INFORMATION FOR THE INTERPRETER

Please let us know where the interpreter will need to meet, are there any preparation materials you could provide to help the interpreter before the appointment, topics that would be covered, etc.

DETAILS ABOUT THE BOOKING

ACC CLAIM NUMBER / CLIENT NUMBER

DO YOU HAVE A PREFERRED INTERPRETER?

If your preferred interpreter is not available, are you happy to have other available interpreters? Is there an interpreter you specifically do not wish to book?

HOW DID YOU HER ABOUT US?

WEBSITE BOOKING FORM - WINZ 3

WEBSITE BOOKING FORM - WINZ

YOUR FULL NAME

If you are booking on behalf of the Deaf client, please indicate your name

First Name

Last Name

CONTACT INFORMATION

How can we contact you to confirm your booking or ask more information?

DEAF CLIENTS NAME

DATE YOU REQUIRE AN INTERPRETER?

START AND END TIME?

ADDRESS OF THE APPOINTMENT

ADDITIONAL INFORMATION FOR THE INTERPRETER

Please let us know where the interpreter will need to meet, are there any preparation materials you could provide to help the interpreter before the appointment, topics that would be covered, etc.

DETAILS ABOUT THE BOOKING

CLIENT NUMBER

DO YOU HAVE A PREFERRED INTERPRETER?

If your preferred interpreter is not available, are you happy to have other available interpreters? Is there an interpreter you specifically do not wish to book?

HOW DID YOU HER ABOUT US?

WEBSITE BOOKING FORM - OTHER (QUOTE NEEDED) 3

I WOULD LIKE A QUOTE FOR THIS JOB. ALSO:

INFORMATION ABOUT THE POTENTIAL BOOKING:

NAME

The name of the person requesting for this service

First Name

Last Name

CONTACT INFORMATION

How can we contact you to confirm your booking or ask more information?

ORGANISATION

Which organisation are you from?

DEAF CLIENT/PARTICIPANTS NAME(S)

DATE OF BOOKING:

START & END TIME:

ADDRESS

Lets us know the address where you need the interpreters to go. Please check google maps go get the accuracy details.

DETAILS ABOUT THE BOOKING

EXTRA INFORMATION FOR THE INTERPRETER

Please let us know where the interpreter will need to meet, are there any preparation materials you could provide to help the interpreter before the appointment, topics that would be covered, etc.

MY PREFERRED INTERPRETER(S) ARE:

If your preferred interpreter is not available, are you happy to have other available interpreters? Is there an interpreter you specifically do not wish to book?

I/WE UNDERSTAND THAT THE LONGER IT TAKES FOR US TO ACCEPT THE QUOTE FROM WORDSWORTH, I/WE COULD POTENTIALLY MISS OUT ON SECURING AN INTERPRETER(S) FOR THIS BOOKING

YES

HOW DID YOU HER ABOUT US?

INFORMATION ABOUT THE QUOTE

(QUOTE) - ATTENTION TO:

First Name

Last Name

(QUOTE) - EMAIL TO:

INFORMATION ABOUT THE INVOICE

(INVOICE) - ATTENTION TO:

If you accept the quote and would like to go through with the booking, we will need information for the invoice

(INVOICE) - EMAIL TO:

(INVOICE) - PO / REF NO:

(INVOICE) POSTAL ADDRESS:

All invoices require a postal address

WEBSITE BOOKING FORM - OTHER (QUOTE NOT NEEDED) 3

INFORMATION ABOUT THE BOOKING:

NAME

The name of the person requesting for this service

First Name

Last Name

CONTACT INFORMATION

How can we contact you to confirm your booking or ask more information?

ORGANISATION

Which organisation are you from?

DEAF CLIENT/PARTICIPANTS NAME(S)

DATE OF BOOKING:

START & END TIME:

ADDRESS

Lets us know the address where you need the interpreters to go. Please check google maps go get the accuracy details.

DETAILS ABOUT THE BOOKING

MY PREFERRED INTERPRETER(S) ARE:

If your preferred interpreter is not available, are you happy to have other available interpreters? Is there an interpreter you specifically do not wish to book?

EXTRA INFORMATION FOR THE INTERPRETER

Please let us know where the interpreter will need to meet, are there any preparation materials you could provide to help the interpreter before the appointment, topics that would be covered, etc.

I/WE UNDERSTAND THAT BOOKINGS CANCELLED WITHIN 72HOURS OF THE START TIME WILL INCUR A 100% CHARGE.

YES

HOW DID YOU HER ABOUT US?

INFORMATION ABOUT THE INVOICE:

(INVOICE) - ATTENTION TO:

First Name

Last Name

(INVOICE) EMAIL TO:

(INVOICE) - PO / REF NO:

(INVOICE) POSTAL ADDRESS:

All invoices must have a postal address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Book an interpreter for:

COMPULSORY EDUCATION

Are you a Deaf parent or caregiver of a child who attends compulsory education? Through the Ministry of Education contract, we are able to book an interpreter for you to attend your child’s school event/meeting.

WEBSITE BOOKING FORM - DEAF PARENTS AT SCHOOL

WEBSITE BOOKING FORM - DEAF PARENTS AT KURA (SCHOOL)

YOUR FULL NAME

The name of the person requesting for this service

First Name

Last Name

CONTACT INFORMATION

How can we contact you to confirm your booking or ask more information?

ORGANISATION

Which organisation are you from?

DEAF CLIENTS NAME (PARENT/CAREGIVER)

This service is only eligible for parents/caregivers attending a meeting or event that involves at child who is registered at the school.

DATE YOU REQUIRE AN INTERPRETER?

START AND END TIME?

NAME OF KURA/SCHOOL

KURA (SCHOOL) ADDRESS

Please check google maps go get the accuracy details.

NAME OF CHILD ENROLLED AT THE KURA (SCHOOL)

This service is only eligible for parents/caregivers attending a meeting or event that involves at child who attends the school.

APPOINTMENT TYPE

EXTRA INFORMATION FOR THE INTERPRETER, SUCH AS:

Please provide extra information you would like us to know.

DETAILS ABOUT THE BOOKING

DEAF PARENT/CAREGIVERS ETHNICITY

IF YOU SELECTED "OTHER ETHNICITY", PLESAE SPECIFY YOUR ETHNICITY

DO YOU HAVE A PREFERRED INTERPRETER?

If your preferred interpreter is not available, are you happy to have other available interpreters? Is there an interpreter you specifically do not wish to book?

HOW DID YOU COME TO KNOW ABOUT WORDSWORTH?

WHERE SHOULD THE INTERPRETER REPORT TO?

WEBSITE BOOKING FORM - WINZ 3 2

WEBSITE BOOKING FORM - WINZ

YOUR FULL NAME

If you are booking on behalf of the Deaf client, please indicate your name

First Name

Last Name

CONTACT INFORMATION

How can we contact you to confirm your booking or ask more information?

DEAF CLIENTS NAME

DATE YOU REQUIRE AN INTERPRETER?

START AND END TIME?

ADDRESS OF THE APPOINTMENT

ADDITIONAL INFORMATION FOR THE INTERPRETER

Please let us know where the interpreter will need to meet, are there any preparation materials you could provide to help the interpreter before the appointment, topics that would be covered, etc.

DETAILS ABOUT THE BOOKING

CLIENT NUMBER

DO YOU HAVE A PREFERRED INTERPRETER?

If your preferred interpreter is not available, are you happy to have other available interpreters? Is there an interpreter you specifically do not wish to book?

HOW DID YOU HER ABOUT US?

JOB SUPPORT (Workbridge)

QUOTE

ACC

WINZ

WEBSITE BOOKING FORM - MSD SUPPORT FUNDS 3

INFORMATION ABOUT THE BOOKING:

NAME

The name of the person requesting for this service

First Name

Last Name

CONTACT INFORMATION

How can we contact you to confirm your booking or ask more information?

ORGANISATION

Which organisation are you from?

DEAF CLIENT/PARTICIPANTS NAME(S)

Whose MSD Funding will this be charges to?

DATE OF BOOKING:

START & END TIME:

ADDRESS

Lets us know the address where you need the interpreters to go. Please check google maps go get the accuracy details.

EXTRA INFORMATION FOR THE INTERPRETER

Please let us know where the interpreter will need to meet, are there any preparation materials you could provide to help the interpreter before the appointment, topics that would be covered, etc.

DETAILS ABOUT THE BOOKING

MY PREFERRED INTERPRETER(S) ARE:

If your preferred interpreter is not available, are you happy to have other available interpreters? Is there an interpreter you specifically do not wish to book?

I/WE UNDERSTAND THAT BOOKINGS CANCELLED WITHIN 72HOURS OF THE START TIME WILL INCUR A 100% CHARGE.

YES

HOW DID YOU HER ABOUT US?

SEND INVOICE TO:

The email address must be the MSD holders email

WEBSITE BOOKING FORM - ACC 3 2

WEBSITE BOOKING FORM - MEDICAL APPOINTMENT (ACC ONLY)

YOUR FULL NAME

If you are booking on behalf of the Deaf client, please indicate your name

First Name

Last Name

CONTACT INFORMATION

How can we contact you to confirm your booking or ask more information?

ORGANISATION

Which organisation are you from?

DEAF CLIENTS NAME

DATE YOU REQUIRE AN INTERPRETER?

START AND END TIME?

ADDRESS OF THE APPOINTMENT

ADDITIONAL INFORMATION FOR THE INTERPRETER

Please let us know where the interpreter will need to meet, are there any preparation materials you could provide to help the interpreter before the appointment, topics that would be covered, etc.

DETAILS ABOUT THE BOOKING

ACC CLAIM NUMBER / CLIENT NUMBER

DO YOU HAVE A PREFERRED INTERPRETER?

If your preferred interpreter is not available, are you happy to have other available interpreters? Is there an interpreter you specifically do not wish to book?

HOW DID YOU HER ABOUT US?

BOOK AN INTERPRETER

WEBSITE BOOKING FORM - OTHER (QUOTE NEEDED) 3 3

I WOULD LIKE A QUOTE FOR THIS JOB. ALSO:

INFORMATION ABOUT THE POTENTIAL BOOKING:

NAME

The name of the person requesting for this service

First Name

Last Name

CONTACT INFORMATION

How can we contact you to confirm your booking or ask more information?

ORGANISATION

Which organisation are you from?

DEAF CLIENT/PARTICIPANTS NAME(S)

DATE OF BOOKING:

START & END TIME:

ADDRESS

Lets us know the address where you need the interpreters to go. Please check google maps go get the accuracy details.

DETAILS ABOUT THE BOOKING

EXTRA INFORMATION FOR THE INTERPRETER

Please let us know where the interpreter will need to meet, are there any preparation materials you could provide to help the interpreter before the appointment, topics that would be covered, etc.

MY PREFERRED INTERPRETER(S) ARE:

If your preferred interpreter is not available, are you happy to have other available interpreters? Is there an interpreter you specifically do not wish to book?

I/WE UNDERSTAND THAT THE LONGER IT TAKES FOR US TO ACCEPT THE QUOTE FROM WORDSWORTH, I/WE COULD POTENTIALLY MISS OUT ON SECURING AN INTERPRETER(S) FOR THIS BOOKING

YES

HOW DID YOU HER ABOUT US?

INFORMATION ABOUT THE QUOTE

(QUOTE) - ATTENTION TO:

First Name

Last Name

(QUOTE) - EMAIL TO:

INFORMATION ABOUT THE INVOICE

(INVOICE) - ATTENTION TO:

If you accept the quote and would like to go through with the booking, we will need information for the invoice

(INVOICE) - EMAIL TO:

(INVOICE) - PO / REF NO:

(INVOICE) POSTAL ADDRESS:

All invoices require a postal address

WEBSITE BOOKING FORM - OTHER (QUOTE NOT NEEDED) 3 2

INFORMATION ABOUT THE BOOKING:

NAME

The name of the person requesting for this service

First Name

Last Name

CONTACT INFORMATION

How can we contact you to confirm your booking or ask more information?

ORGANISATION

Which organisation are you from?

DEAF CLIENT/PARTICIPANTS NAME(S)

DATE OF BOOKING:

START & END TIME:

ADDRESS

Lets us know the address where you need the interpreters to go. Please check google maps go get the accuracy details.

DETAILS ABOUT THE BOOKING

MY PREFERRED INTERPRETER(S) ARE:

If your preferred interpreter is not available, are you happy to have other available interpreters? Is there an interpreter you specifically do not wish to book?

EXTRA INFORMATION FOR THE INTERPRETER

Please let us know where the interpreter will need to meet, are there any preparation materials you could provide to help the interpreter before the appointment, topics that would be covered, etc.

I/WE UNDERSTAND THAT BOOKINGS CANCELLED WITHIN 72HOURS OF THE START TIME WILL INCUR A 100% CHARGE.

YES

HOW DID YOU HER ABOUT US?

INFORMATION ABOUT THE INVOICE:

(INVOICE) - ATTENTION TO:

First Name

Last Name

(INVOICE) EMAIL TO:

(INVOICE) - PO / REF NO:

(INVOICE) POSTAL ADDRESS:

All invoices must have a postal address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country