Interpreter/Translator Services Reporting Form
Thank you for sharing your skills and abilities with Cleveland City Schools and its families!  Complete this form each day you provide interpretation/translation services for any of our school sites/events.  Calculate and report the total amount of time spent providing service(s) per day.  Reporting inaccurate information may result in delayed payment.  Reports will run on/about the 5th of each month (for the prior month).  If you have any questions, please reach out to Maria Herrero @ (423)250-5804 x4018 or mherrero@clevelandschools.org
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Email *
First and Last Name: *
Provider type: *
Address: (Street Address, City, State, Zip Code) *
Date of Service: *
MM
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DD
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YYYY
Duration of Service provided: (hours and minutes) *
Name of School Site/Location: *
Reason for services, include name of teacher/staff member (For example-IEP (Linn), Parent Teacher Conferences (Bender), Office Document Translation (Site Name):  *
Additional information:
A copy of your responses will be emailed to the address you provided.
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