Interpreter Request Form

Use this form to request an interpreter for the Deaf. The requesting Catholic parish, school or
institution is responsible for payment. The cost of interpreting ranges from $35 - $50 an hour. There
is often a two hour minimum. Event lasting over two hours require two interpreters. Needy parishes
may request funds from the Deaf Apostolate to assist in paying for interpreters.

Requestor's Name
Requestor's Phone Number
Requestor's Email Address
Name of Church/School:
Street Address:
City
State
Zip
Event Description:
Date:
Start Time:
Event End Time
Location of Event:
Event Contact Person:
Email:
Phone:
Deaf Individuals:
Please fax or email this form to the Deaf Apostolate.
An invoice will be sent to the Parish/School or Institution.

DEAR APOSTOLATE
Archdiocese of Philadelphia
222 North 17th Street
Philadelphia, PA 19103

215-587-3913 (Voice/TTY) 267-507-1215 (VP) 215-587-0510 (TTY)
215-587-3561 (Fax) pcpddeaf@adphila.org (email)