COMMONWEALTH OF PENNSYLVANIA GOVERNOR’S OFFICE PENNSYLVANIA HUMAN RELATIONS COMMISSION In the matter of: Case No.: Appearing on Behalf of: CERTIFICATE OF SUPERVISION I, _____________________________, hereby certify that I am a practicing attorney, and that _______________________________ designated agent of the complainant in the above-captioned proceeding, is a paralegal who shall be under my supervision during his/her presentation of the case in support of the complainant at public hearing. ____________________________________ Signature ____________________________________ Name (Printed) ____________________________________ P.O. Address ____________________________________ City, State, and Zip Code ____________________________________ Telephone (including area code) ____________________________________ Date American LegalNet, Inc. www.FormsWorkFlow.com