58 Pa. Code § 499a.5

Current through Register Vol. 54, No. 24, June 15, 2024

Section 499a.5 - Form of notice of appearance

(a) The form of notice of appearance is as follows:

COMMONWEALTH OF PENNSYLVANIA

BEFORE THE PENNSYLVANIA GAMINGCONTROL BOARD

In the Matter of:

[File, Docket or Other Identifying 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 participant in this matter.

[CHECK ONE]

[] On the basis of this notice, I request a copy of each document hereafter issued by the Board in this matter.

[] I am already receiving or have access to a copy of each document issued by the Board in this matter and do not on the basis of this notice require an additional copy.

_________________________

Signature

_________________________

Attorney Identification Number

_________________________

Name (Printed)

_________________________

P. O. address

_________________________

City, state and zip code

_________________________

Telephone number (including area code)

_________________________

Fax Number (including area code)

_________________________

Email address

(b) Subsection (a) supersedes 1 Pa. Code § 31.25 (relating to form of notice of appearance).

58 Pa. Code § 499a.5

This section cited in 58 Pa. Code § 499a.4 (relating to notice of appearance or withdrawal).