I-C Superior Court of the District of Columbia PROBATE DIVISION IN RE: Intervention Proceeding _________________________________ No. _____________________ An Adult REQUEST FOR NOTICE In accordance with SCR-PD 304, ___________________________________ ( Name of Requestor) 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 an interest in the proceeding of the above named individual because: ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ D.C. Bar Number:____________ _________________________________ (Signature of Attorney) Date: __________, 20_______. ________________________________ (Signature of Requestor) _________________________________ (Typewritten Name of Attorney) ________________________________ _________________________________ ________________________________ (Address) _________________________________ (Address) Telephone No. _____________________ (Typewritten Name of Requestor) (Address) ________________________________ (Address) Telephone No. ___________________ Form PD-1872A/Sep. 89 American LegalNet, Inc. www.FormsWorkflow.com CERTIFICATE OF SERVICE I hereby certify that on the _______ day of _________________, 20 _________, a copy of the foregoing ____________________________was served by first class mail, postage prepaid, upon the following parties to the above captioned case and persons granted permission to participate pursuant to SCR-PD 303 and persons who requested notice to SCR-PD 304. ________________________________________ _____________________________ ________________________________________ _____________________________ ________________________________________ _____________________________ ________________________________________ _____________________________ ________________________________________ _____________________________ ________________________________________ _____________________________ ________________________________________ _____________________________ ________________________________________ _____________________________ ________________________________________ _____________________________ ________________________________________ _____________________________ ___________________________________ Signature Form PD-1872B/Sep. 89 American LegalNet, Inc. www.FormsWorkflow.com