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Request Form What services are in my area?

Language Being Requested*
- American Sign Language (ASL)
- Spanish
Service Being Requested (ASL)*
- On-Site Interpreting
- Video Remote Interpreting (VRI)
- Interpreting of Pre-Recorded Videos (PRI)
- Signing Aide (SA)
- Captioning of Pre-Recorded Videos
- ASL Fluency Evaluation
- Deaf Culture Training Sensitivity Training
Service Being Requested (Spanish)*
- On-Site Interpreting
- Video Remote Interpreting (VRI)
- Interpreting of Pre-Recorded Videos (PRI)
- Captioning of Pre-Recorded Videos
On-Site Interpreting

You've chosen ASL On-Site Interpreting (Face to Face). This means the interpreter(s) will be going to the location you provide to render the services requested.

We cover ALL settings including: Education, Medical, Legal, Business, Warehouses, and more.

If you have any questions on ASL On-Site Interpreting, Call us (951-565-4422 ext: 1)
Video Relay Interpreting (VRI)

You've chosen Video Relay Interpreting (VRI). This means the interpreter(s) will be joining virtually through a video session link provided.

We cover most video platforms including: Zoom, Google Meets, Microsoft Teams, WebEx, and more.

If you have any questions on On-Site Interpreting, Call us (951-565-4422 ext: 1)
Signing Aide (SA)

You've chosen Signing Aide (SA). This means the Signing Aide will provide 1-to-1 support for Deaf / Hard-of-Hearing consumers.

SAs have multiple qualifications including: ABA Trained, CPR, First Aid, CPI Certified, and more.

If you have any questions on Signing Aides, Call us (951-565-4422 ext: 1)
Interpreting of Pre-Recorded Videos (PRI)

You've chosen Interpreting of Pre-Recorded Videos (PRI). This means an interpreter will be interpreting a pre-recorded video and a RISE Technician will be embedding that interpreter into your video.

We've interpreted many videos, including: Announcements, Trainings, Presentations and more.

If you have any questions on Interpreting of Pre-Recorded Videos (PRI), Call us (951-565-4422 ext: 1)
Captioning of Pre-Recorded Videos

You've chosen Captioning of Pre-Recorded Videos. This means a RISE Technician will be captioning a video you have provided.

We've captioned many videos, including: Announcements, Trainings, Presentations, Seminars and more.

If you have any questions on Captioning of Pre-Recorded Videos, Call us (951-565-4422 ext: 1)
Deaf Culture Training Sensitivity Training

Deaf Culture Training Sensitivity Training may be customized to cover many industries, including: Emergency Services (Police, Fire Department, etc), General Business and more. Trainings may be 1 hour, 2 hours or a custom length.

If you have any questions on Deaf Culture Training Sensitivity Training, Call us (951-565-4422 ext: 1)
Customer Information
Customer Organization / Name*
Department / Division
Requester Information
Name*
First Last
Job Title (If Applicable)
Phone*
Email*
Spanish Interpreting Information
Spanish Interpreting Type
Consecutive interpretation the interpreter translates once the speaker stops speaking, in simultaneous interpreting the interpreter translates the while the speaker is talking.
Simultaneous Interpreting (SI) Equipment
To have an efficient set-up for simultaneous interpretation you will need SI equipment: This includes a transmitter for Interpreters to speak into and receivers/headsets for each individual consumer who needs language access. These are solely used between the source language speaker and interpreter for clear communication and less disruption-as the Interpretation is not interrupting the flow of the speaker/presenter.
- I need RISE to provide equipment
- We will be using our own equipment
- Equipment is not needed for this event
Amount of Receivers/Headsets Needed
Select the total number of receivers needed for each individual consumer who needs language access
Amount of Receivers/Headsets Needed (25+)
List the total number of receivers needed for each individual consumer who needs language access
Please enter a number greater than or equal to 25.
Date Information
Is this a Single Day Request or Multiple Days/Times?*
- Single Day
- Multi-Day
- Recurring/Long Term
Date of Service*
MM slash DD slash YYYY
Start Time*

: Hours

Minutes

AM/PM
End Time*

: Hours

Minutes

AM/PM
Due to a high volume of service requests, we have reached max capacity and are booked up on the day selected. We are sorry for any inconvenience this may cause, you can request another date or contact our office for scheduling updates
Limited availability due to a large event on this day (10/18).

To ensure the best chance of full coverage and support, we strongly recommend selecting an alternative date.
Amount of dates requesting
For anything more than Seven Days, please adjust your above selection to 'Recurring/Long Term'.
1st Date of Service*
MM slash DD slash YYYY
1st Start Time*

: Hours

Minutes

AM/PM
1st End Time*

: Hours

Minutes

AM/PM
2nd Date of Service*
MM slash DD slash YYYY
2nd Start Time*

: Hours

Minutes

AM/PM
2nd End Time*

: Hours

Minutes

AM/PM
3rd Date of Service*
MM slash DD slash YYYY
3rd Start Time*

: Hours

Minutes

AM/PM
3rd End Time*

: Hours

Minutes

AM/PM
4th Date of Service*
MM slash DD slash YYYY
4th Start Time*

: Hours

Minutes

AM/PM
4th End Time*

: Hours

Minutes

AM/PM
5th Date of Service*
MM slash DD slash YYYY
5th Start Time*

: Hours

Minutes

AM/PM
5th End Time*

: Hours

Minutes

AM/PM
6th Date of Service*
MM slash DD slash YYYY
6th Start Time*

: Hours

Minutes

AM/PM
6th End Time*

: Hours

Minutes

AM/PM
7th Date of Service*
MM slash DD slash YYYY
7th Start Time*

: Hours

Minutes

AM/PM
7th End Time*

: Hours

Minutes

AM/PM
First Date of Recurring
MM slash DD slash YYYY
Last Date of Recurring
MM slash DD slash YYYY
Time Zone
Days Requested for Recurring
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday
- Sunday
Monday Start Time

: Hours

Minutes

AM/PM
Monday End Time

: Hours

Minutes

AM/PM
Tuesday Start Time

: Hours

Minutes

AM/PM
Tuesday End Time

: Hours

Minutes

AM/PM
Wednesday Start Time

: Hours

Minutes

AM/PM
Wednesday End Time

: Hours

Minutes

AM/PM
Thursday Start Time

: Hours

Minutes

AM/PM
Thursday End Time

: Hours

Minutes

AM/PM
Friday Start Time

: Hours

Minutes

AM/PM
Friday End Time

: Hours

Minutes

AM/PM
Saturday Start Time

: Hours

Minutes

AM/PM
Saturday End Time

: Hours

Minutes

AM/PM
Sunday Start Time

: Hours

Minutes

AM/PM
Sunday End Time

: Hours

Minutes

AM/PM
Would you like to exclude any dates?
Number of dates to exclude:
1st Excluded Date
MM slash DD slash YYYY
2nd Excluded Date
MM slash DD slash YYYY
3rd Excluded Date
MM slash DD slash YYYY
4th Excluded Date
MM slash DD slash YYYY
5th Excluded Date
MM slash DD slash YYYY
6th Excluded Date
MM slash DD slash YYYY
7th Excluded Date
MM slash DD slash YYYY
8th Excluded Date
MM slash DD slash YYYY
9th Excluded Date
MM slash DD slash YYYY
10th Excluded Date
MM slash DD slash YYYY
11th Excluded Date
MM slash DD slash YYYY
12th Excluded Date
MM slash DD slash YYYY
13th Excluded Date
MM slash DD slash YYYY
14th Excluded Date
MM slash DD slash YYYY
15th Excluded Date
MM slash DD slash YYYY
16th Excluded Date
MM slash DD slash YYYY
17th Excluded Date
MM slash DD slash YYYY
18th Excluded Date
MM slash DD slash YYYY
19th Excluded Date
MM slash DD slash YYYY
20th Excluded Date
MM slash DD slash YYYY
21st Excluded Date
MM slash DD slash YYYY
22nd Excluded Date
MM slash DD slash YYYY
23rd Excluded Date
MM slash DD slash YYYY
24th Excluded Date
MM slash DD slash YYYY
25th Excluded Date
MM slash DD slash YYYY
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Duration
Location Information
City State ZIP Code
On-Site Interpreting is currently limited to Southern California. If you are outside of the area, please consider Video Remote Interpreting.
Your service location is outside of our in-person coverage area. Consider adjusting your 'Service Type' to Video Remote Interpreting (VRI) Services
Resources are limited in your area. Please submit requests with advanced notice to increase likelihood of coverage. Consider using Video Remote Interpreting (VRI). Onsite services for some remote locations may require travel time and mileage charges.
Which of the following best describes your setting?
Situation
Tell us what your request is for. Please provide as information as possible, such as subject matter
Total # of Videos
I'd also like it to be captioned!
I'd also like an interpreter embedded!
Total Length of Videos

: Hours

Minutes
Provide a brief description of your videos
How would you like the Evaluation to take place?
1st Preferred Date*
MM slash DD slash YYYY
1st Preferred Time
2nd Preferred Date
MM slash DD slash YYYY
2nd Preferred Time
How would you like the Training Sensitivity Training to take place?
1st Preferred Date*
MM slash DD slash YYYY
1st Preferred Time
2nd Preferred Date
MM slash DD slash YYYY
2nd Preferred Time
Email
This field is for validation purposes and should be left unchanged.

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What Services are offered in my area?
Enter Zip Code
Limited On-Site Interpreting
(ASL Interpreting & Signing Aides) Video Remote Interpreting (VRI)

Pre-Recorded Interpreting Captioning ASL Proficiency Evaluations
On-Site Interpreting
(ASL Interpreting & Signing Aides) Video Remote Interpreting (VRI)

Pre-Recorded Interpreting Captioning ASL Proficiency Evaluations
Video Remote Interpreting (VRI) Pre-Recorded Interpreting

Captioning ASL Proficiency Evaluations
Name
This field is for validation purposes and should be left unchanged.

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6887 Magnolia Avenue
Riverside, CA 92506

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