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Get Guidelines for the Labor and Industries Interpretive Service Appointment Record

number are filled in the box at the top of the form. The interpreter’s provider number is your individual provider number under our company. If you are not sure what this number is, please ask. If you would like to be reimbursed for mileage, please fill out the addresses completely. If this is a group service, you must have a form for each member of the group that you interpreted for. Do NOT fill out one form for more than one client. The bottom section is to be filled out by the provider onl.

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