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Sign Language Interpreter Services
ICRC
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EIPA Interpreter Form

Interpreter Information

First Name Last Name Address City State Zip-code Work Phone Cell Phone Home Phone Contact Email Body

EIPA ID Grade Level

Elementary

Secondary

EIPA Elementary Level EIPA Secondary Level

Interpreter's CEUs

NEW EIPA CEU

Workshop Title Workshop Date Education Ethics General QAST Year*

Interpreter Paid Fees

Year

Maintenance fee paid CEU's Satisfied Year*

ICRC Interpreter Form

Interpreter Information

First Name Last Name Address City State Zip-code Work Phone Cell Phone Home Phone Contact Email Body

QAST ID Interpreting

N/A

0

I

II

III

IV

V

Interpreting Expires Transliterating

N/A

0

I

II

III

IV

V

Transliterating Expires National Certification

Unknown

CDI

CI/CT

CSC

ED: K-12

NIC

NIC Adv

SC:L

IC/TC

SDE

N/A

Not Educational

Approved

Not Approved

SDE Register

N/A

Not Educational

Yes

No

Interpreter's CEUs

NEW ICRC CEU

Workshop Title Workshop Date Education Ethics General QAST Year*

Interpreter Paid Fees

Year

Maintenance fee paid CEU's Satisfied Year*

Last Modified on Oct 24, 2024

Oklahoma Rehabilitation Services
3535 NW 58th Street, Suite 500
Oklahoma City, OK 73112

(800) 845-8476 Toll Free

(405) 951-3400 Main Office

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