PO Box 2074 Empire State Plaza Agency Building 2, 20 th Floor Albany, New York 12220 - 2074 Phone: (518) 457 - 2578 I Fax: (518) 457 - 2664 www.perb.ny.gov N otification of E - Filing and Consent to Electronic Service Case n umber(s) : Charging p arty: Respondent(s): I, ( enter your name ) , am (check one) the representative of a party in the above - captioned action or a self - represented party in this matter. On the date listed below I electronically filed with the Public Employment Relations Board (PERB) the following . I also filed one paper copy with PERB. Exceptions and supporting brief ; Cross - Exceptions and supporting brief ; Response. C HOOSE ONE OF THE FOLLOWING TWO OPTIONS: OPTION ONE: All of t he other parties to this proceeding have consented to electronic service . I have simultaneously sent a copy of my filings to each party at the email address(es) listed below and included all parties on my email to PERB . List the email address(es) used: or: OPTION TWO: I have simultaneously sent a paper copy of my filings to the representatives of each of the other parties to this proceeding and have included proof of service with my filing . I hereby consent to receive service of Cross - Exceptions and/or Responses from the other parties to this proceeding at th is email address : Signature: Date: Print name: Party Represented: Email this completed form with Exceptions, Cross - Exceptions, or Response to boardsecretary@perb.ny.gov . (Form number / date updated PERB100 ( 2 /1 9 )) American LegalNet, Inc. www.FormsWorkFlow.com