37 Pa. Code § 171.154
The following is the form for request for conciliation conference:
COMMONWEALTH OF
PENNSYLVANIA
ARBITRATION PANELS FOR
HEALTH CARE
: | |
: | No. |
vs. | : |
: | County: |
: | (Form of action) |
REQUEST FOR CONCILIATION CONFERENCE BY (Party's name and designation)
Please schedule a conciliation conference in the above case. I suggest the following possible dates, times, city and conference or court room for the conference.
The following motions, interrogatories, depositions, or other matters remain outstanding and must be completed prior to an arbitration hearing:
Of the above listed matters, the following must and are scheduled to be completed before the conciliation conference is held:
I certify that copies of this Request were sent to all other parties or their counsel by personal service or regular mail.
______________ | ______________ |
Date | (Signature of counsel, or party if none) |
______________ | ______________ |
(Name of party represented) | (Printed name) |
37 Pa. Code § 171.154
This section cited in 37 Pa. Code § 171.61 (relating to conciliation conference).