Notice of Appearance

• Legal Form Number: 3
• Court: United States Court of Appeals For Veterans Claims
• Section: Court of Appeals for Veteran Claims

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UNITED STATES COURT OF APPEALS FOR VETERANS CLAIMS

NOTICE OF APPEARANCE

Appellant,

Petitioner,

v. Docket No.

Secretary of Veterans Affairs , Appellee / Respondent.

1.

Please enter my appearance for

2.

I am:

the appellant or petitioner

the Secretary

the intervenor

amicus curiae:

other:

admitted to practice before this Court as: attorney non-attorney practitioner

seeking to appear in this case only, under Rule 46(b)(1)(G); my motion is attached.

3.

I am:

the lead representative of record. I will accept service for my client and will inform all co-

representatives of matters served upon me.

not the lead representative of record but am joining as co-representative.

replacing the lead representative of record, who:

has been permitted or is seeking to withdraw.

remains as co-representative.

4.

If I am representing the appellant, petitioner, intervenor, movant, or other prospective party my

representation is:

pursuant to the attached fee agreement. If the fee agreement provides for direct payment

out of past-due benefits under 38 U.S.C. § 5904, a copy has been served on counsel for the

Secretary. If the fee agreement provides for a contingent fee, it also provides for an offset

of any fees and expenses awarded under the Equal Access to Justice Act (EAJA), 28 U.S.C.

§ 2412(d) in the event the Court awards VA benefits on the claim.

without charge to that client; however, it is subject to the attached retainer agreement.

pursuant to the fee/retainer agreement already on record in this case.

/s/

Signature Date

Printed name Veterans Service Org., if R. 46(a)(2)(B) applies.

Address

Signature and printed name and address of

Supervising attorney, if R. 46(a)(2)(A) applies.

Telephone number Email address

Attachments: Application and motion to appear under Rule 46(b)(1)(G)

Fee agreement Retainer agreement

Form 3

(Rev.07-24)