LANGUAGE INTERPRETATION SERVICE INVOICE
Submit invoices twice a month, by the 31st and the 15th of each month - Fax No.: 416-426-7118 or scan and email to: invoices@[Link]
INTERPRETER NAME: _____________________________________________ LANGUAGE: ___________________ MONTH: ____________________
RESOURCE No.: _______________ CRA - HST Registration Number (where applicable): _________________________________________________
Number of Number of English Signature of Service One-Way
Assignment Requesting Agency Type of Date Actual Actual Fulfilled/ For
Not fulfilled
non-English speakers - Service Provider or Mileage Payroll
Number Name & Contact Person Service (DD/MM) Start Time End Time speakers Provider Staff (Km)
Use Only
Representative
Comments:
Rev.: 2014
Interpretation | Translation | Transcription
LANGUAGE INTERPRETATION SERVICE INVOICE
Submit invoices twice a month, by the 31st and the 15th of each month - Fax No.: 416-426-7118 or scan and email to: invoices@[Link]
Instructions on completion of Language Interpretation Service Invoice form
This is your unique identifier in our database. You can find it in the assignment confirmation email or inquire about it with your
Resource number
Interpreter Services Coordinator.
Number assigned by the Interpreter Services Coordinator and sent in the assignment confirmation via email. Invoice lines without
Assignment number
assignment number will not be paid.
Requesting Agency Name Short form for agency that requested the service (e.g. CAS for Children’s Aid Society, LAO for Legal Aid Ontario, or HBHC for Healthy
& Contact Person Babies Healthy Children) and name of person requesting the service.
F-to-F: Face-to-Face (in-person) interpretation
Phone: Conference call (3-way call placed by the requesting agency to the non-English speaking client)
M.R.: Message Relay. Information given to the interpreter by the requesting agency which has to be relayed to the non-English
Type of Service speaking client (e.g. appointment time & date)
Group: Interpreting for more than one non-English speaking Client and /or English speaking Service Provider in the same
session.
Video: Remote interpreting via video-conference software
Date Date the interpretation appointment takes place. Use Day and Month (DD/MM) format.
Start Time – End Time Actual time the interpretation begins and ends (not when you arrived/left).
Whether the interpretation was completed or not completed. Give the reason for non-fulfillment in the notes section at the bottom of
Fulfilled / Not Fulfilled
the form (e.g. non-English speaking client or service provider did not attend session, or interpretation was cancelled without notice)
Number of non-English There is at least 1 non-English speaking Client in all interpreting encounters. Fill out this field whenever there is more than 1 non-
speaking clients present (if English speaking Clients present (e.g. if a mother comes accompanied by her child and husband, you are to report 3 non-English
more than 1) speaking Clients). By leaving it blank, it is understood that there was only 1 non-English speaking client present.
There is at least 1 English speaking Service Provider staff member present in all interpreting encounters. Fill out this field whenever
Number of English
there is more than 1 service provider staff member (e.g. if a counsellor at a shelter is accompanied by a colleague, you should report
speakers (if more than 1) -
2 English Speakers – Service Provider Staff). By leaving it blank, it is understood that there was only 1 member of the staff
Service Provider Staff present.
Signature of Service
Signature of the Service Provider who leads the meeting, or a representative.
Provider or Representative
Rev.: 2014
Interpretation | Translation | Transcription
