Requesting SLI and/or CART Services | Department on Disability

REQUESTER'S CONTACT INFORMATION

First Name

Last Name

Department, Office, or Bureau

City Email Address

Phone Number

EVENT CONTACT INFORMATION

Event Contact First Name

Event Contact Last Name

Event Contact Email Address

Event Contact Phone Number

ALTERNATE EVENT CONTACT INFORMATION

Alternate Event Contact Email Address

Alternate Event Contact Phone Number

EVENT INFORMATION

Name of Service Recipient, or General Access

Event Name or Title

Event Start Date

Event End Date

Arrival or Connect Time

Start Time

End Time

TYPE OF EVENT

On-site

A captioner or interpreter will travel to the event, meeting, or appointment location to provide services in-person.

Remote

Captioner or interpreter will access the event, meeting, or appointment through a remote platform (i.e. Google Meet, Zoom, etc.).

Name of site or building, if any

Street Address including Room/Suite Number

City

State

Zip Code

Parking & Directions

Remote Event Information

Please copy and paste the remote event details, including the video conference link (e.g., Google Meet, Zoom), or any audio and video access info like bridge number, Zoom Dial-In, and ID numbers below.

If the contact person responsible for letting in the captioner or interpreter into the virtual meeting is different from the one listed in the first section of the form, please enter their name, email, and phone number as well.

Name

Phone

TYPE OF SERVICE REQUEST

(Check all that apply)

Communication Access Real-Time Translation (CART)

Provides real-time captions of spoken words displayed on a screen or device for participants. The default language for captioning is English unless a different language is requested.

Sign Language Interpreting (SLI)

The default language for interpretation is American Sign Language (ASL) unless a different language is requested.

CART Equipment and Caption Display Options

(Check all that apply)

Remote Captioning: Request Captioner to Provide a StreamText URL

Select this option to receive a link for real-time captions through the StreamText platform. The link can be shared with attendees for viewing captions on personal devices (phones, tablets, or laptops). The captioner will then provide live captions, which can be integrated into Zoom or displayed on a screen or personal devices via StreamText.

On-site Option 1: Direct Connection to Provided Equipment

A captioner will attend the event in person with their stenotype machine and directly connect to the requestor's display system. The requestor must provide WiFi access, a laptop, and a projector or monitor with a cable connection (usually HDMI) for the captioner to display live captions in real time. It is the requestor's responsibility to set up the laptop, monitor, or projector and ensure the captions are displayed correctly for participants.

On-site Option 2: Using StreamText

Captions will be displayed in real time using the StreamText platform and can be viewed on a monitor, projector, or personal devices (phones, tablets, laptops) via a shared StreamText link. This option provides more flexibility, allowing attendees to access captions on multiple devices without a physical connection. WiFi access must be provided. If using a monitor or projector, the requestor must provide a laptop, set up the equipment, and ensure the captions are displayed correctly for participants.

ADDITIONAL INFORMATION AND INSTRUCTIONS

Please provide any relevant details, such as:

Topic (ex: Wildfire Press Conference)
Speakers (ex: names of Mayor, LAFD, LAPD representatives)
What to Expect (ex: location, resources, call-to-action)
Important Details (ex: speaking order, languages other than English that will be spoken)

Will the interpreters at this event be filmed or recorded?

Yes

To Be Determined

Not Applicable

Supporting Files

Providing these materials in advance will help ensure accurate interpretation and captioning. You will have the chance to update or add more details once an interpreter or captioner has been secured.

Please share relevant materials, including:

Agenda
Program Outline
Talking Points
Other important information (ex: lyrics for concerts or performing arts events)

Provide the link to the file or folder.

By checking this box, you agree that your department or office will provide the following equipment and ensure audio coordination, if needed, for the requested services:

Wi-Fi/Internet Access credentials
Monitor, projector, or laptop to display captions
Phone, tablet, or computer for individual caption access
HDMI cable to connect the captioner's equipment to the monitor or projector
Audio setup to ensure the interpreter and captioner can hear the speakers clearly

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Service Request Form