Notice Of Temporary Or Limited Representation {TCM-TR3.1-5}

STATE OF INDIANA ) ) ss: COUNTY OF_______) (Caption) IN THE ___________________________ COURT Case Number: ____________________________ NOTICE OF TEMPORARY OR LIMITED REPRESENTATION Under Trial Rule 3.1(I), this form must be filed by any attorney seeking to represent a party in a proceeding before the court on a temporary basis or a basis that is limited in scope. At the conclusion of the representation, the attorney must file a notice of completion of representation. 1. The party on whose behalf this form is being filed is: Initiating ____ Responding ____ Intervening ____ ; and the undersigned attorney now represents the following party: Name of party___________________________________________________ (Check either temporary and include end date, or check limited and describe the scope of the limited representation.) ___ on a temporary basis until (date)___________________________ ; or ___ for the limited purpose(s) of: ___________________________________________ ________________________________________________________________________ Address of party (If this case involves a protection from abuse order, a workplace violence restraining order, or a no-contact order, list on this form the party's public mailing address as shown on the prior appearance form filed on behalf of this party.) _______________________________________________________________________ Telephone # of party _____________________________________ 2. Attorney information for service Name: ____________________________ Atty. Number: __________________ Address: __________________________________________________________ Phone: _______________________ FAX: ______________________________ Email Address: ______________________ _________________________________________ Attorney-at-Law (Attach certificate of service as required by Trial Rule 5) Form TCM-TR3.1-5 Approved by State Court Administration 11/11 American LegalNet, Inc. www.FormsWorkFlow.com