Home
About
Services Offered
Language Services
Transportation
Invoice
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.
Interpreter Information
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 Address
Apt, Suite, Bldg. (optional)
City
State / Province / Region
Postal / Zip Code
Country
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo (Brazzaville)
Congo
Costa Rica
Cote d\'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor (Timor Timur)
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia, The
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palestinian Territory
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Western Sahara
Western Samoa
Yemen
Zambia
Zimbabwe
Patient Information
This section is about the patient for whom you offered interpreter services.
Patient's First and Last Name
*
Appointment Type
*
Choose one.
MD
PT
OT
FCE
WCP
Imaging
Surgery
VOC
Legal
Other
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?
*
Yes
No
Comments
Any additional comments about the appointment.
Invoice Details
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)
Verification
Please enter any two digits
*
Example: 12
This box is for spam protection -
please leave it blank
: