58 Pa. Code § 499a.5
(a) The form of notice of appearance is as follows:
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
This section cited in 58 Pa. Code § 499a.4 (relating to notice of appearance or withdrawal).