37 Pa. Code § 171.153
Current through Register Vol. 54, No. 25, June 22, 2024
The following is the form for notice of appearance:
COMMONWEALTH OF
PENNSYLVANIA
ARBITRATION PANELS FOR
HEALTH CARE
: | ||
vs. | : | No. |
: | County: | |
: | (Form of action) |
NOTICE OF APPEARANCE FOR (Party's name and designation)
Please enter my appearance in the above-captioned matter on behalf of
(Name of Party)
(Party's address)
I am authorized to accept service on behalf of said party in this matter.
(Signature)
______________
(Name)
(Firm's name)
(Address)
(Telephone number)
(Attorney certificate number)
37 Pa. Code § 171.153
This section cited in 37 Pa. Code § 171.26 (relating to notice of appearance).