Power Of Attorney | Pdf Fpdf Doc Docx | Pennsylvania

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Power Of Attorney | Pdf Fpdf Doc Docx | Pennsylvania

Last updated: 7/11/2012

Power Of Attorney

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Description

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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