Request Service

Please complete the form to the best of your ability. Some fields may not apply to your request. If you are not sure what to enter, please leave that field blank. If you wish the interpreter or service provider to join you on Zoom Video or another platform, provide the room ID or link (plus password if necessary) if you have it. If you would like us to setup the Zoom room just let us know. Our coordinating staff will contact you if there is any necessary information that is missing.  If putting more than one email address into the “Requester Email” field please separate them with a comma or semicolon. i.e. support@getnis.com; info@aslnis.com 

If you are a new customer without an established account we will use the information below to email you a service agreement for review and electronic signature.

You may submit multiple or repeating dates on this form. Just use “Add Single Date” to add another blank line or “Add Pattern Date” to create a repeating pattern. If you end up with an extra blank line click the red X to delete it before clicking “Submit Request” or it will block your submission and prompt you to fill in the empty date fields.

Additional Info:

Service requests submitted through this page are only monitored on weekdays from 7:00 AM – 4:00 PM PST. For EMERGENCY service or requests that need our eyes before the next business day, please submit your request here and ALSO call 1-800-284-1043 x709 or initiate a Text Message through our website to let us know you just submitted a time sensitive request.  

After clicking “Submit Request” at the bottom, you will receive an abbreviated copy of your submission to the email address entered in the “Requester Email” field.  In addition to that you will see a pop up indicating the JOB# that was assigned to your submission.  This job number will also appear at the top and bottom of the form.   Please note this job number and reference it when communicating with us.

Thank you for your business!