UNITED STATES OF AMERICA
                         FEDERAL ENERGY REGULATORY COMMISSION

[Name of Petitioner]							Docket No. SA		

NOTICE OF PETITION FOR ADJUSTMENT

(                 )

Take notice that on [date filed], [Name of Petitioner] filed pursuant to [applicable section and statute and section of Commission regulations under which the petition is filed and a description of the adjustment requested].

	[Include any other information in support of the petition].

Any person desiring to intervene or to protest this filing must file in accordance with Rules 211 and 214 of the Commission’s Rules of Practice and Procedure (18 CFR 385.211 and 385.214).  Protests will be considered by the Commission in determining the appropriate action to be taken, but will not serve to make protestants parties to the proceeding.  Any person wishing to become a party must file a notice of intervention or motion to intervene, as appropriate.  Such notices, motions, or protests must be filed on or before the comment date.  Anyone filing a motion to intervene or protest must serve a copy of that document on the Petitioner.  On or before the comment date, it is not necessary to serve motions to intervene or protests on persons other than the Petitioner.  

The Commission encourages electronic submission of protests and interventions in lieu of paper using the “eFiling” link at http://www.ferc.gov.  Persons unable to file electronically should submit an original and 14 copies of the protest or intervention to the Federal Energy Regulatory Commission, 888 First Street, N.E., Washington, D.C. 20426.

This filing is accessible on-line at http://www.ferc.gov, using the “eLibrary” link and is available for review in the Commission’s Public Reference Room in Washington, D.C.    There is an “eSubscription” link on the web site that enables subscribers to receive email notification when a document is added to a subscribed docket(s).  For assistance with any FERC Online service, please email FERCOnlineSupport@ferc.gov, or call (866) 208-3676 (toll free).  For TTY, call (202) 502-8659.

Comment Date: 5:00 pm Eastern Time on (insert date).

Magalie R. Salas
Secretary