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Fill and Sign the Americans with Disabilities Act Ct Judicial Branch Form

Fill and Sign the Americans with Disabilities Act Ct Judicial Branch Form

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REQUEST FOR INTERPRETER SERVICES The Judicial Branch complies with the Americans with Disabilities Act (ADA). If you need a reasonable accommodation in accordance with the ADA, contact Interpreter and Translator Services at telephone no. (860) 706-5040, fax no. (860) 706-5088 or at the address noted below. REQUESTED BY (Please print) CASE NO. NAME AND ADDRESS OF COURT PUBLIC DEFENDER PRIVATE COUNSEL PROSECUTOR LANGUAGE (Including dialect, if applicable) JD-ES-95 Rev. 3-06 COURTROOM NO. JUDGE DEFENDANT'S NAME COMMENTS STAGE OF PROCEEDING: TELEPHONE NO. (Include area code) DATE OF REQUEST TIME DATE NEEDED PLEA BOND HEARING PRE-TRIAL Y.O. COURT HEARING COURT TRIAL JURY TRIAL SENTENCING STATE OF CONNECTICUT JUDICIAL BRANCH www.jud.ct.gov MAIL TO: Interpreter and Translator Services, 90 Washington Street, Hartford, CT 06106

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