FORM 15C

NOTICE OF INTENTION TO ACT IN PERSON

(General Heading — Form 4A or 4B)

NOTICE OF INTENTION TO ACT IN PERSON

The plaintiff (or as may be), formerly represented by (name) as lawyer of record, intends to act in person.

(Date)	(name, address for service and telephone number of party to act in person)

TO:	(name and address of former lawyer of record)

AND TO:	(name and addresses of lawyers for all other parties, or

names and addresses of all other parties)