Pennsylvania Code & Bulletin
COMMONWEALTH OF PENNSYLVANIA

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The Pennsylvania Code website reflects the Pennsylvania Code changes effective through 54 Pa.B. 488 (January 27, 2024).

58 Pa. Code § 499a.5. Form of notice of appearance.

§ 499a.5. Form of notice of appearance.

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

COMMONWEALTH OF PENNSYLVANIA


BEFORE THE PENNSYLVANIA GAMING
CONTROL 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).

Cross References

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



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