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Request for Interpretation Services

  1. Request for Interpretation Services
    As a recipient of federal funds, the City of Holland, Michigan, must take reasonable steps to ensure that Limited English Proficiency (LEP) persons have meaningful access to programs, services, and information. Limited English Proficiency persons may not speak English as their primary language and may have a limited ability to read, speak, write or understand English and thus may be entitled to language assistance with respect to a particular type of service, benefit or encounter. Complete the form below if you or someone you know needs language assistance in their dealings with city government. We cannot guarantee an interpreter if the request is received less then 5 business days before the appointment.
  2. What Type of Interpretation Do You Need?
  3. What Type of Event Is It?
  4. What City Department Will This Involve?
  5. Person Requesting Services/Point of Contact
  6. Additional Point of Contact
  7. Submitting this Request for Interpretation Services affirms that this is a reasonable accommodation for a government employee, applicant, or customer for an official City of Holland sponsored meeting, activity, or program.
  8. Leave This Blank:

  9. This field is not part of the form submission.