*** Note: Effective January 14th, 2008, the new IRS mileage rate is $0.505

Assignment/Payment Form
DHCC Interpreter Assignment/Payment Form can be used for billing purposes or to note job details on the form itself. DHCC coordinators generate this form to fax interpreters regarding the date, time, location, on-site contact information and phone number, and client information. This form also allows notation for special instructions, such as security information, parking, cross streets, etc. Please click here to download the form to submit for billing.

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On-Going Job Billing Invoice
DHCC on-going job billing invoice form can be used for any on-going assignment, such as school schedules and/or weekly meetings. This form allows notation for date, time, location, travel and other expenses incurred. Please click here to download the form to submit for billing.

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Travel Reimbursement
The following DHCC customers require completed travel reimbursements forms with copies of receipts. Click on the company names to download travel forms as PDFs:

  • IBM
  • Keystone Mercy Health System
  • OVR
  • Philadelphia Court
  • University of Pennsylvania Health System, which includes:
    • Hospital of the University of Pennsylvania (HUP)
    • HUP Dept. of Orthopedic Surgery
    • Pennsylvania Hospital
    • Penn Care for Kids
    • Penn Care Internal Medicine at Mayfair
    • Penn Care Phoenixville Area Family Medicine
    • Penn Family Care
    • Penn Lung Center
    • Penn Medicine at Radnor
    • Penn Pain Medicine Center
    • Presbyterian Medical Center
    • Presbyterian Medical Group
    • Scheie Eye Institute

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Availability
Keeping your availability up-to-date is very important. DHCC compiles the information provided by interpreters with other criteria as a quick reference guide when working on filling assignments. This in-house tool is vital to the smooth coordination of assignments. Without it, the coordinators may assume you are available when you are not. Or, worse case scenario, the coordinators may assume you are not available when you are. The availability forms are to be used by all interpreters, not just those in a regularly scheduled assignments.

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DHCC will use this submitted Web form to determine an interpreter's weekly availability and assignments.

Here are a few tips for completing the Availability form:

  • The semester schedule should show any unavailability an interpreter would have consistently for 3 to 4 months.
  • List on-going work contracted through other agencies and organizations, such as privately contracted school schedules.
  • List all on-going unavailability, such as early morning due to childcare needs and the Tuesday evening yoga class that you are promising to attend.
  • List any on-going regular professional or personal commitments that you have.
  • List on-going DHCC work as well. This provides the coordinators an opportunity to check both the interpreter’s and DHCC’s records.
  • Please do not list commitments that are not repeated throughout the semester. The schedule should reflect on-going commitments only.
  • Identify the general location, such as Center City, Media, etc., for your on-going work. This helps us to contact you if there is an emergency in that location.
  • If you have NO on-going commitments or time restraints, simply write “AVAILABLE AT ALL TIMES” in every field.
  • If you leave a field blank, we will assume that you have no conflicts or commitments during that time period.
Interpreter Contact Information
First Name:
Last Name:
Contact Number:
E-mail:
Today's Date:

This schedule will be in effect

from this date: to this date:


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Fridays:

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Saturdays:

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Sundays:

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Additional Comments:

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