INSTRUCTIONS
N.C. JUDICIAL BRANCH OF GOVERNMENT
FOREIGN LANGUAGE INTERPRETER INVOICE FOR HOURS WORKED (AOC-A-215)
INSTRUCTIONS: This form must be submitted once a month and within 30 days of service in order to be paid for services as a court interpreter for the
NC Judicial Branch. This form may be lled out by hand or by completing the electronic version of the form available on the NCAOC website. This invoice
should be used only for requesting payment for providing authorized interpreting services for the NC Judicial Branch. All information must be legible and
complete or the invoice will not be processed. Please mail the completed monthly invoice with attached applicable daily logs in chronological order to: Ofce
of Language Access Services, NCAOC, P.O. Box 2448, Raleigh, NC 27602.
NAME AND ADDRESS OF INDIVIDUAL PROVIDING SERVICES: Print/Type the name and address of the person providing the
interpreting service.
SOCIAL SECURITY NUMBER (LAST FOUR DIGITS) OR TAXPAYER ID NUMBER: List the last four digits of the Social Security number
of the interpreter providing the services or the taxpayer identication number for companies providing LOTS interpreters to the NC Courts.
COUNTY: List interpreter services that were provided in one county. If services were provided in more than one county, submit a separate
invoice for each county.
MONTH/YEAR: List the month and the year during which interpreter services were provided. Only one month and year can be entered per
invoice.
LEVEL: Check the box indicating the classication level on the individual interpreter's contract with NCAOC. LOTS interpreters should
also ll in language and NCAOC contract hourly rate.
DATE AND TOTAL NUMBER OF HOURS WORKED FOR EACH AUTHORIZED ACTIVITY: In the appropriate column, list the date the
interpreter worked and the number of hours interpreting services were provided during the month in any of the following that apply: In
district court or superior court, and out of court for assigned counsel/guardian ad litem for an adult respondent, out of court for a public
defender, out of court for a district attorney, and out of court for a guardian ad litem attorney or volunteer for the GAL Program. Round
up to the nearest quarter hour (fteen minutes) increment (.00, .25, .50, .75). If the services were provided for a session of court, list the
total hours of the session of court in the appropriate cell. If completing the form by hand, ll in the total number of hours worked during the
month at the bottom of each column and ll in the total regular hours worked during the month at the bottom of the sheet.
TRAVEL: Interpreters are authorized to bill mileage and one-half of an hour for every hour of travel if traveling more than 35 miles one
way, as specied in the contract. For example, if total time traveled is two hours, travel time on invoice should be entered as one hour
under Travel - Time. The number of miles traveled should be recorded under the Travel - Miles column. Parking fees will be reimbursed if
receipts are included with the invoice. Parking fees should be recorded under the Travel column entitled "Parking."
FOR AFTER HOURS WORK: If service has been provided outside of normal working hours (that is, 5:00 p.m. - 8:00 a.m.), please place
an "X" in the small box located in the lower right hand corner of the box indicating where or for whom services were provided (e.g., district
attorney, magistrate, district court). Enter the actual hours worked outside of the normal working hours in the After Hours column. Do not
place a mark inside the small box unless you have after hours time to report.
TOTAL AMOUNT DUE: If lling out form by hand, place the total dollar amount due for regular hours worked and after hours worked
based on interpreter’s hourly rate as authorized in interpreter's contract with NCAOC. Total hours worked during normal working hours are
to be calculated at interpreter's hourly rate (Total Regular Hours x Hourly Rate). After hours worked are to be calculated at the interpreter’s
hourly rate plus $10 per hour (Total After Hours x (Hourly Rate + $10)).
INTERPRETER'S VERIFICATION: Interpreter must sign the verication of time in front of the witness to the interpreter’s verication.
WITNESS TO THE INTERPRETER'S VERIFICATION: Either the Clerk of Superior Court, an assistant clerk of superior court, a deputy
clerk of superior court, or a notary public must date, sign, and print his/her name to verify that the interpreter signed the verication of
services provided.
AOC-A-215, Side Two, Rev. 3/17
© 2017 Administrative Ofce of the Courts
