COMMONWEALTH OF PENNSYLVANIA
STATE HEALTH FACILITY HEARING BOARD
IN RE: | : |
: | DOCKET NO. |
: |
CERTIFICATE OF SERVICE
I hereby certify that on or before the date of filing the following document(s):
____________________________________________
I have served a copy thereof on each of the following persons in the manner indicated below:
Service by first class mail addressed as follows:
____________________________________________
(Name and Address)
Service in person:
____________________________________________
(Name and Address)
Acceptance of service endorsed by the following:
____________________________________________
(Name and Address)
______________________
(Signature of Person Filing)
______________________
(Name and Address of Person Filing)
______________________
(Date)
37 Pa. Code § 197.6
The provisions of this §197.6 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 § 197.5 (relating to service on other parties); 37 Pa. Code § 197.34 (relating to notice of appeal); 37 Pa. Code § 197.64 (relating to contents of petition); and 37 Pa. Code § 197.84 (relating to notice of appeal and answer).