Limited English Proficient (LEP) Person's Name * LEP Person's Address Street Address, City, State and Zip Code LEP Person's Phone Number LEP Person's Email Address LEP Person's Primary Language * May we contact the LEP person in the future to discuss what happened? Yes No Which court failed to provide the LEP person with services in their primary language? * Case Information (if any) Include: Name of Case, Type of Case and Docket Number if applicable Is LEP person a party to the case? Yes No If so, which party? Plaintiff Defendant Describe the way the court failed to provide LEP person with services in their primary language: * The court is required to provide language services to limited English proficient (LEP) persons. If they do not provide you with services in your own language this is considered discrimination. Date that language services were denied, not provided or not available: Name(s) of individuals(s) who denied you language services (if known): Witnesses (if any): How was the LEP person negatively effected or harmed? * Advocate Information Please include your name, agency you work for, address, phone number and email address. Leave this field blank
