Nj Notice of Appearance Form

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					                    NOTICE OF WITHDRAWAL OF APPEARANCE

N.J.A.C. 13:4-1.6(c) provides that an attorney who seeks to withdrawal his or her
appearance on behalf of a party before the Division on Civil Rights shall submit this
Notice of Withdrawal of Appearance form, or provide all of the information
requested on this form in a letter or similar document. The withdrawing attorney
shall include with the filing of this form a certification that a copy of the notice was
mailed or delivered to all counsel and pro se parties and to the client.



CASE NAME: ____________________________________________________________

DOCKET NO.: ____________________________________________________________


NAME OF ATTORNEY:          ____________________________________________________

FIRM:                      ____________________________________________________

ADDRESS:                   ____________________________________________________

TELEPHONE NO.:             ____________________________________________________

FAX NO.:                   ____________________________________________________


LIST OF PARTIES FOR WHICH APPEARANCE IS WITHDRAWN:

                           ____________________________________________________

                           ____________________________________________________


DO YOU CONTINUE TO REPRESENT ANY OTHER PARTIES IN THIS MATTER? ______

IF SO, PLEASE LIST ALL PARTIES YOU CONTINUE TO REPRESENT:

                           ___________________________________________________

                           ___________________________________________________



                              NJ Division on Civil Rights
                               www.NJCivilRights.org
                                   (609) 292-4605

				
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