Authority To Practice
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Authority To Practice Form. This is a Pennsylvania form and can be use in Human Relations Commission Statewide.
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Tags: Authority To Practice, Pennsylvania Statewide, Human Relations Commission
COMMONWEALTH OF PENNSYLVANIA
GOVERNOR’S OFFICE
PENNSYLVANIA HUMAN RELATIONS COMMISSION
In the matter of:
Docket No.:
Appearing on Behalf of:
AUTHORITY TO PRACTICE
(CHECK ONE)
( ) 1. I am an attorney at law admitted to practice before the Supreme Court of Pennsylvania, and my
Supreme Court I.D. No. is
.
( ) 2. I am an attorney at law admitted to practice before the highest court of another jurisdiction.
If Item 2 has been checked, and you are claiming a right to practice before the Pennsylvania Human Relations
Commission under the reciprocity provision of 1 Pa. Code §31.22, please complete the NOTICE OF
RECIPROCITY, have your client complete the attached POWER OF ATTORNEY, and submit them with
this form and your NOTICE OF APPEARANCE.
If Item 2 has been checked, and you are not claiming a right to practice before the Pennsylvania Human
Relations Commission under the reciprocity provision of 1 Pa. Code §31.22, please complete the NOTICE
OF FOREIGN ATTORNEY STATUS, have your client complete the attached POWER OF ATTORNEY,
and submit them with this form and your NOTICE OF APPEARANCE.
Signature
Name (Printed)
P.O. Address
City, State and Zip Code
Telephone (including area code)
Date
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