UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF NEW YORK ) ____________________________, ) Plaintiff(s), ) ) ) VS. ) ) ) _____________________________, ) Defendant(s). ) ) CASE NO. ________________________ NOTICE OF INTENT TO REQUEST REDACTION Notice is hereby given that a statement of redaction of specific personal identifiers will be submitted to the court reporter/transcriber within 21 days from the filing of the transcript with the Clerk of Court. S/ _____________________________________ Attorney for _________________________ NDNY Bar Roll # ____________________ Address Date: ________________________ CERTIFICATE OF SERVICE I hereby certify that on _________________, I electronically filed the foregoing with the Clerk of Court using the CM/ECF system which will send notification to the following: _______________________________________, and I hereby certify that I have mailed by United States Postal Service the document to the following non CM/ECF parties: __________________________________________________________________ S/ ____________________________________ notice of intent to redact 1/16/06 American LegalNet, Inc. www.USCourtForms.com