STATE OF RHODE ISLAND
Rhode Island Traffic Tribunal
AND PROVIDENCE PLANTATIONS
670 New London Avenue Cranston, Rhode Island 029203081 (401) 2752700
,SC
STATE OF RHODE ISLAND -vsSUMMONS No.:______________________
_________________________
(Print)
ENTRY OF APPEARANCE
To the Clerk of the Traffic Tribunal:
Please enter my appearance as attorney for:_______________________________
_______________________________
Signature
_______________________________
Name (printed)
_______________________________
Address
_______________________________
Rhode Island Bar Number
(_____)_________________________
Telephone Number
Date:_________________