SUPERIOR COURT OF THE DISTRICT OF COLUMBIA PROBATE DIVISION _________ INT _________ _________ IDD _________ In re: ________________________________ An Adult REQUEST FOR NOTICE Pursuant to Superior Court, Probate Division Rule 304, I, _____________________, hereby request copies or notice of any petition, motion, pleading, order, or other paper filed in the above-captioned intervention proceeding after the filing and service of this request. Notice may be served on the undersigned and upon the undersigned's attorney at the addresses and telephone numbers shown below. The undersigned has the following interest in the proceeding of the above-named individual: _______________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ I understand that in accordance with Superior Court, Probate Division Rule 304(d) this request for notice will remain in effect for three years or the duration of this proceeding, whichever is shorter. ____________________________________ Signature of attorney ____________________________________ Typed name of attorney ____________________________________ Address (Actual address/not Post Office Box) ____________________________________ ____________________________________ ____________________________________ Telephone number ____________________________________ Email address ____________________________________ Unified Bar number ___________________________________ Signature ___________________________________ Typed Name ___________________________________ Address (Actual address/not Post Office Box) ___________________________________ ___________________________________ ___________________________________ Telephone number ___________________________________ Email address ___________________________________ Bar number (if flier is an attorney) April 2014 ­ 944.10.v2 American LegalNet, Inc. www.FormsWorkFlow.com The filing fee is enclosed in the form of a check or money order payable to "Register of Wills" in the amount of $25.00. CERTIFICATE OF SERVICE I certify that on the ____ day of ____________________, 20____, a copy of this filing was either eServed in accordance with the provisions of Administrative Order 13-15 or served by first class mail, postage prepaid, on the following persons (list names and complete mailing addresses): _________________________________ Signature April 2014 ­ 944.10.v2 American LegalNet, Inc. www.FormsWorkFlow.com