Pennsylvania > Statewide > Human Relations Commission
Power Of Attorney - Pennsylvania
| Power Of Attorney Form. This is a Pennsylvania form and can be used in Human Relations Commission Statewide . |
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COMMONWEALTH OF PENNSYLVANIA GOVERNOR'S OFFICE PENNSYLVANIA HUMAN RELATIONS COMMISSION In the matter of: Case No.: Appearing on Behalf of: POWER OF ATTORNEY I, _____________________________, being duly sworn according to law, hereby certify that I am aware that _____________________ is not licensed to practice law in the Commonwealth of Pennsylvania, and I hereby authorize him/her to represent me in the above-referenced case before the Pennsylvania Human Relations Commission. ____________________________________ Signature ____________________________________ Name (Printed) ____________________________________ P.O. Address ____________________________________ City, State, and Zip Code ____________________________________ Telephone (including area code) ____________________________________ Date Sworn to and subscribed before me this ____ day of _________, 20___. ____________________________________ Notary Public My Commission expires: ________________ American LegalNet, Inc. www.FormsWorkFlow.com
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