GSA Form

GSA RCC REQUEST
* Does this request replace or edit a previous request?

Choose one:
Yes No
Either reply all to the confirmation email originally sent to you, or send a new email to biscoord@bisworld.com and include the job number sent to you in your confirmation email.
Contact Information
Name

First Name Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Contact Information for other Points of Contact
Add additional emails or phone numbers (if there are multiple POCs).
Event Details
* Type of Event

Video Meeting/Webinar Conference Call
* Event Title
* GSA Disaster Number (if applicable)
if not applicable, enter "N/A"
* Meeting Platform
* Meeting Link
Password, if required
Notes for Captioner
Event Title
GSA Disaster Number (if applicable)
Dial-in Phone Number
If you are using a VoIP (Voice over IP) provider for a Web Conference, enter 000-000-0000 as the Dial-in phone number and include the VOIP information in the Event Details. A web conference URL is needed to Book the Event. If you are not using VoIP, a Dial-in number is required.
Access Code
Notes for Captioner
Date and Time of Event
* I understand, per the RCC contract, that in order to ensure availability, requests must be made at least 12 hours in advance. We will do our best to find availability for requests made with less than 12 hours notice.
Is This a Recurring Meeting?
Date of Event
Begin Time

Hour Minutes

AM/PM Option
End Time

Hour Minutes

AM/PM Option
Repeats Until

Month Day Year
Date
Time Zone
Every
On

Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Scheduling Notes
If meeting is recurring, occuring on multiple days, or has different times each day, please indicate here. Please include as much detail about the agenda as possible for any event lasting over three hours.
Service Type Options
One-Way RCC
Language
Event Is Spoken In

English Spanish
Captions Should Be In

English Spanish
Transcript Options
* Send a transcript to me and the consumer(s) (unedited realtime transcript)* Destroy the transcript*
Note: Transcripts embedded within web conferencing platforms may be retained on platform server.

We have no control on the quality of the audio connection being used for the requested call as audio quality affects the accuracy of the call being transcribed. Requestor is responsible to ensure best audio connectivity is available at all times during the call. Transcripts provided at the end of a call are unedited/raw data.

A confirmation email for your request will be sent to the email address entered above. Please send prep materials (information on the content, agenda or PowerPoint being used for the call) to femaprep@hricart.com. You may also include links to prep in the Captioner Notes section above.
Acknowledgement
* I understand and certify Relay Conference Captioning (RCC) is intended for people who are Deaf or Hard of Hearing to participate in conference calls, webinars or video meetings. * * I understand cancellations are required at least 24 hours in advance. Reply to the RCC confirmation email to cancel service.
Additional Notes and Instructions
Should be Empty:

GSA RCC REQUEST

Contact Information

Event Details

Date and Time of Event

Service Type Options

Language

Transcript Options

Acknowledgement