RNID interpreter booking request

Please ensure that you book as early as possible. RNID will not book an interpreter until this form is submitted by the store manager.

Your details
Your name*
First Last
Phone*
Your store code*
Your store address*
Street Address Address Line 2 City County / State / Region ZIP / Postal Code
Email
Assignment details
Name of customer*
Date of appointment*
DD slash MM slash YYYY
Start time of appointment*
24 hour format eg 14:00

: Hours

Minutes
Finish time of appointment*

: Hours

Minutes
Format of appointment*
- Face to face
- Remote (via Microsoft Teams)
Is PPE going to be provided?*
- No
- Yes
If PPE is going to be provided, please details
Details of the appointment (e.g. eye test, include names of key hearing people attending)*
Communication support details
Please contact RNID if you need advice on 0845 685 8000
Please enter number required
BSL interpreter Deafblind communicator Speech-to-text reporter SSE interpreter
Electronic notetaker Lipspeaker ISL interpreter Manual notetaker
Preferred interpreter name (not guaranteed)
Preferred interpreter gender
- Male
- Female
Is there an interpreter you prefer not to use?
Venue details (if different from above store details):
Is parking available?
- Yes
- No
Consent
Consent*
I can confirm that our customer, who we are requesting an interpreter for, does not have Covid-19 symptoms and has not had Covid-19.
Consent*
I approve the request for an interpreter as per the above information
Store managers name*
First Last
CAPTCHA
Comments
This field is for validation purposes and should be left unchanged.

BSL interpreter	Deafblind communicator	Speech-to-text reporter	SSE interpreter

Electronic notetaker	Lipspeaker	ISL interpreter	Manual notetaker

Your details