Notice Of Reciprocity
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Notice Of Reciprocity Form. This is a Pennsylvania form and can be use in Human Relations Commission Statewide.
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Tags: Notice Of Reciprocity, Pennsylvania Statewide, Human Relations Commission
COMMONWEALTH OF PENNSYLVANIA
GOVERNOR’S OFFICE
PENNSYLVANIA HUMAN RELATIONS COMMISSION
In the matter of:
Case No.:
Appearing on Behalf of:
NOTICE OF RECIPROCITY
I hereby certify that I am an attorney at law admitted to practice before the
highest court of _____________________________, as evidenced by the
attached copy of my current
(name of jurisdiction)
license to practice before such court (a card or similar credential evidencing the
current ability to practice before such court shall suffice).
The above-named jurisdiction has a civil rights agency, similar in jurisdiction and
function to the Pennsylvania Human Relations Commission, which allows members of the
bar of Pennsylvania the reciprocal right to practice before such agency. Said agency is
the
_____________________________________________________.
(name of similar civil rights agency)
____________________________________
Signature
____________________________________
Name (Printed)
____________________________________
P.O. Address
____________________________________
City, State, and Zip Code
____________________________________
Telephone (including area code)
____________________________________
Date
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