COMMONWEALTH OF PENNSYLVANIA GOVERNOR’S OFFICE PENNSYLVANIA HUMAN RELATIONS COMMISSION In the matter of: Case No.: Appearing on Behalf of: NOTICE OF INTENT Notice is hereby given that A.B., attorney/designated agent of complainant, intends to present the case in support of the complaint at the public hearing in the above-captioned proceeding, as provided under §9(e) of the Pennsylvania Human Relations Act. /s/_______________________________________ Attorney/designated agent _______________________________________ Address & Telephone No. CERTIFICATE OF AUTHORITY I, C.D., complainant in the above captioned proceeding, hereby certify that the above named attorney/designated agent has my express authority to present my case at public hearing and that I understand I am foregoing my right to be represented at such hearing by an attorney or agent of the Human Relations Commission. I do/do not authorize that Commission staff counsel remain involved in this proceeding at public hearing. /s/_______________________________________ Complainant [See 16 Pa. Code §42.108, set forth below, for the rules on continued involvement by Commission staff counsel] American LegalNet, Inc. www.USCourtForms.com 16 Pa. Code §42.108. Continued involvement by Commission staff. (a) Whenever the complainant files a Certificate of Authority under §42.106 (relating to attorney or designated agent of complainant; forms), which allows the Commission staff counsel to remain involved in the proceeding at public hearing, a staff counsel may be assigned to represent the Commonwealth’s interest in assuring that the policies and provisions of the act are protected at the public hearing. This involvement will allow the Commission staff counsel to participate in the public hearing process, but will not allow the Commission staff counsel to control the manner in which the complainant’s private attorney prepares for or conducts the public hearing on behalf of complainant, or to prevent a voluntary and knowing conciliation by the parties. (b) Whenever the complainant files a Certificate of Authority, which does not allow the Commission staff counsel to remain involved, the staff counsel may file a request to remain involved. For good cause shown, the Commission may grant the request, and if granted, the Commission staff counsel may remain involved, as provided in subsection (a). American LegalNet, Inc. www.USCourtForms.com