STATE OF CONNECTICUT
INSURANCE DEPARTMENT
In the Matter of:
Docket No. _________
NOTICE OF APPEARANCE
Please enter my appearance in the above-designated matter on behalf of ________.
I am authorized to accept service on behalf of said participation in this matter.
______________________________
Signature
______________________________
Name (Printed)
______________________________
P. O. box/address
______________________________
City, state and zip code
_______________________________
Telephone number (including area code)
_______________________________
E-mail address
After a notice of appearance has been filed in accordance with this section, copies of all pleadings, notices, rulings, or decisions shall be served on each and every person named in the notices of appearance.
Conn. Agencies Regs. § 38a-8-33