Pennsylvania Code
Title 37 - LAW
Part III - Agencies and Offices
Subpart H - Arbitration Panels for Health Care
Chapter 171 - RULES OF PRACTICE AND PROCEDURE
FORMS
Section 171.153 - Form for notice of appearance
Universal Citation: 37 PA Code ยง 171.153
Current through Register Vol. 54, No. 44, November 2, 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)
This section cited in 37 Pa. Code § 171.26 (relating to notice of appearance).
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