Language Assistant Templates

This document is used to waive the right to free interpretation services in New York, specifically for individuals who speak Chinese.

This document is a complaint form specifically for Chinese individuals in Washington state who want to file a Title VI complaint. Use this form to report any discrimination or violations of Title VI of the Civil Rights Act.

This form is used for requesting a fair hearing in Wisconsin for English and Hmong speakers.

This document is used in New York for individuals who waive their rights to free interpretation services. It is available in Arabic.

This Form is used for reporting changes to Medicaid benefits in Wisconsin for individuals who speak Hmong.

This document is a complaint form for individuals in San Bernardino County, California, who have experienced difficulties accessing language services. It allows residents to report any issues they have encountered and seek resolution.

This document waives the right to free interpretation services in New York specifically for Chinese speakers.

This form is used for filing a complaint regarding language access issues in New York, specifically for individuals who speak Urdu.

This document is used to waive the right to free interpretation services in New York for the Urdu language.

This form is used for filing a complaint about language access issues in New York. It allows individuals to report incidents where they were unable to access language services provided by government agencies.

This type of document is a Language Access Complaint Form specifically designed for individuals in New York who speak French and have encountered language barriers. It allows them to file a complaint regarding their rights to language access services.

This form is used for filing a complaint related to discrimination on the basis of race, color, or national origin in Mississippi.

This type of document is a Language Access Complaint Form specific to New York State for individuals who prefer to file a complaint in Arabic regarding language access services.

This Form is used for filing a complaint about language access issues in New York. It is specifically for complaints regarding French language services.

This form is used for filing a language access complaint in New York City if you require Urdu language assistance.

This Form is used for filing a language access complaint in New York if you have experienced a issue with French language services.

This form is used for tracking language services provided during in-person interactions with individuals who have limited English proficiency in the state of New York.

This form is used to file a complaint regarding the access to services in your language in North Carolina. It is specifically intended for individuals who speak Hindi.

This document for submitting complaints regarding access to services in Vietnamese language in North Carolina.

This document is a complaint form called LA1 Access to Services in Your Language (Russian) for residents of North Carolina. This form is used to file a complaint regarding access to services in the Russian language.

This Form is used for filing a language access complaint in New York specifically for Urdu speakers.

This Form is used to schedule an appointment with a foreign language interpreter in Ohio.

This document is a language access complaint form in Vietnamese for residents in California. It allows individuals to file a complaint regarding language barriers they may have encountered in accessing government services.

This Form is used for filing a complaint regarding any discrimination based on race, color, or national origin within the City of Phoenix, Arizona.

This form is used for requesting language assistance in New York City. It is available in multiple languages including English, Spanish, Russian, Arabic, Cantonese, French, Haitian Creole, and Mandarin (Chinese).