COMMONWEALTH OF PENNSYLVANIA
STATE HEALTH FACILITY HEARING BOARD
IN RE: | : |
: | DOCKET NO. |
: |
NOTICE OF APPEARANCE
Please enter my appearance in the above-designated matter on behalf of
___________________________________________________
(name and address of party represented)
I am authorized to accept service on behalf of said participant in this matter
_______________________
(Signature)
_______________________
(Name, printed)
_______________________
(P. O. Address)
_______________________
(City, State, Zip Code)
_______________________
(Area Code/Telephone No.)
_______________________
(Date)
37 Pa. Code § 197.10
The provisions of this § 197.10 amended under section 805(b) of the Health Care Facilities Act (35 P. S. § 448.805(b)); and 2 Pa.C.S. 102(a).
This section cited in 37 Pa. Code § 197.9 (relating to appearances); and 37 Pa. Code § 197.68 (relating to reply to petition).