University of Vermont

Formal Complaint Form

Interpreter Feedback Form

All ASL interpreters working at The University of Vermont are expected to abide by the RID Code of Professional Conduct. Interpreter Services strives to provide quality services to all individuals using our services. If you have feedback about an interpreter or our services, please complete the Interpreter Services Feedback Form. The Director of Academic Support Programs will review the feedback and respond back to you within two weeks, as necessary.

Personal Information

Home Phone:
Cell Phone:
Street or PO Box #:
Zip Code:

Interpreter Information

Interpreter Name:
Interpreter Email:
***Other information required?***

Please use the box below to indicate why you are contacting us. Please refer to the Code of Professional Responsibility for Interpreters, if you feel an interpreter has violated the Code, list the violation and its corresponding paragraph Code number which would apply.

State exactly what the interpreter has done or not done which causes you to make this report. Please give details, including specific dates.

Have you discussed this problem with the interpreter personally? Yes No

If so, when did you talk to him/her last? (mm-dd-yyyy) Pick a date

Additional information:

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Last modified June 12 2014 03:07 PM

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