QUALIFIED INTERPRETER TIME SHEET STATE OF SOUTH CAROLINA COUNTY OF _____________________ _______________________________ Plaintiff vs. _______________________________ Defendant ) ) ) ) ) ) ) ) ) ) IN THE COURT OF ________________ _________________JUDICIAL CIRCUIT No. Deaf/Sign Language Non-English speaking __________________________________ (Specify Language)
Date Service Rendered
Case Number
Start Time
End Time
Hours/Min. Interpreting
TOTAL: Date Services Completed: ________________ I CERTIFY THAT THE INFORMATION GIVEN IS TRUE AND ACCURATE.
Signature Of Interpreter
Printed Name of Interpreter
NOTE: Original form or Certified True Copy only. Forms not in compliance will be returned.
SCCA/264 (6/2006)