RequestCal. Super. - 6th Dist.February 26, 20215:11.: lNT-300 Request for Interpreter (Civil) WIN Mulllpé UGIU IIUIU WHUII lull! lé HM]. Fill out this form if you or a witnm in your case needs an interpreter when I L E Dyou arein court. MAR 1 0 202' CleSee instructions on page 2 afflu'sformfor more information. G) Your Information (person requesting an interpreter). Ifyou have a lawyer, give your lawyer ‘s information. (lye- Fill in court name and street g£rasss Superior Court of California, County of Name; Kateryna Pomogaibo State BarNo.: Santa Clara Firm Name: Address; 333 Escuela ave, apt 141 191 N.First Street, City; Mountain view Statezfii Zip: 94040 san jose' CA’ 95113 Telephone: (650) 996-6914 E-Mail Address: katijushiaegmail . com Court fills in case number when form is fibd. Case Number: 2 lCH009890 ® I am a party in this case (check one irem below): PlaintiFf/Petitioner D Defendant/Respondent D Other (describe): ® I need an interpreter in the following language when I am in court: ‘D espanol (Spanish) D Tléng Viet (Vietnamese) D {E‘Oi (Korean) D Iii (Mandafin)l D FKfimantonese) D UMJG (FarSi/PerSian) E pyccxuMRussian) D Tagalog (Tagalog) D 1,3,2” (Arabic) D M(Punjabi) D Other: Include town ()forigin, ifyou speak an indigenous language: G) D I have a witness who needs an interpreter for the following court date: (Complete a separateformfor each witness.) a. Date: 04/20/2021 Time: 9.00 AM Department andjudicial officer, ifknown: Erik Johnson, Department 4 D No date is set yet. b. The witness needs an interpreter in (check one): The language marked above OR D Other (enter (he language (he witness speaks): / Date; March 9, 2021 ) / Si azure ofparty 0r attorney . ‘ F Approved tor MODE enema 120 ° Fm Approved var optlohpuwu”ml: mgma Request for Interpreter CEB INT'soo' Page 1g ,hnr‘al Cnrv-il M CaMnma wwmm m rww lPivi“ www rah rnm Your Name: Case Number: Kateryna Pomogaibo 2 1CH009 8 9 0 ‘ INSTRUCTIONS o Court proceedings amin English. If a party or witness does not speak or understand English well, he or she may need an interpreter. The interpreter Will allow him or her to testify, speak to thejudge, and understand what others are saying in coun. Certified and registered court interpreters are trained to interpret in court. lfyou need language help, you can ask the court to provide a court interpreter by filling out the first page of this form. o You should complete this form ifyou or a witness in your case needs an interpreter. A witness is someone who provides information in court, under oath. You should complete a separate form for every witness who needs language help. Complete the first page and file it with the court. Check with your local court to find out how far in advance you must file a request for an interpreter. You can also find out when the court will answer your request. o Courts try to provide an interpreter in every language and in every civil case. The court‘will provide you with a response to let you know ifyour request was granted. Sometimes, a court cannot provide an interpreter in every case. Request for Accommodations Assistive listening systems, computer-assisted real-time captioning, or sign language interpreter services are available ifyou ask at least five days before the hearing. Contact the clerk’s office or go to www.courts.cagov/forms for Requestfor Accommodations by Persons With Disabilities and Response (Form MC-410). (Civ. Code, § 54.8.) foruooELUsoanaa‘ 7 nos _. 'mmmmwxgmgw - Requestforlnterpreter CH3 '"m-Pasem