Notice Of Appearance

STATE OF NEW YORK DEPARTMENT OF LAW NOTICE OF APPEARANCE Section 166 of the Executive Law requires regulatory agencies to maintain a record of appearances of third parties (i.e, attorneys, agents and representatives) appearing for a fee on behalf of any person, firm, corporation or association subject to the regulatory jurisdiction of the agency. This usually occurs when the third partys client is involved in a permit or application matter. This form is subject to all the rules and regulations of the Freedom of Information Law. Information that is confidential as a matter of law need not be furnished. Division/Bureau: Date of appearance: Individual making appearance on behalf of client: Name: Firm: Address: Telephone: Client represented: Name: Address: Telephone: Subject of appearance: Agency employee before whom appearance is made: Name: Title: Signature of individual completing form: Date: 120 Broadway, New York, N.Y. 10271 (212) 416-8095 Fax (212) 416-8139