Invoice | Anchored Transportation and Translation Services

Interpreter Invoice Please fill out the form below to generate your interpreter invoice. Be sure to press submit at the bottom of the form. A confirmation email will be sent to you when your invoice is submitted. All invoices should be submitted within 24 hours after completing the assignment. The maximum amount of time allowed to submit your invoice is 48 hours. Any Invoices not submitted within that time frame could mean that you will not be paid for services.

This section is about you - the interpreter. Ensure all information is accurate and up to date.
Independent Contractor Name *Enter your full name.
Your Email (we will send an invoice confirmation here) *
Preferred Method of Payment *
PayPal (fastest)Check
PayPal Email Address If preferred payment is by PayPal, please enter the email address linked to your PayPal account.
Mailing Address
If your preferred payment is by check, please enter your mailing address.Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

This section is about the patient for whom you offered interpreter services.
Patient's First and Last Name *
Appointment Type *
Choose one.MDPTOTFCEWCPImagingSurgeryVOCLegalOther
Appointment Date *
Facility *
Follow Up Appointment *Please add Location, Date and Time for any follow-up appointment(s) booked. (i.e. FU: 6/14/13 @ 3:00 PM Same Location). Write 'none' if no follow-up appointment is necessary.
Are transportation services required for the follow-up appointment? *
YesNo
Comments
Any additional comments about the appointment.

Appointment Start and End Times: *You will be paid from the start time to the end time. (i.e. 12:00 PM to 1:15 PM)
Interpretation Total Hours *i.e. 1.25 x 20.0 = $25.00
Travel Miles Total *i.e. Mileage - 30 mi x 0.25 = $7.50
Total for Services *Total combined dollar amount for Interpretation Earnings and Travel Mileage (i.e. 25.00+7.50=$32.50)