BEFORE THE NEBRASKA PUBLIC SERVICE COMMISSION

In the Matter of the Application of ) Application No. OP-003

TransCanada Keystone Pipeline, L.P. )
for route approval of the Keystone XL Pipeline ) PETITION OF FORMAL
Project pursuant to the Major Oil Pipeline ) INTERVENTION
Siting Act. )

Pursuant to Neb. Admin. Code Title 291, Chpt. 1, 015.01, (NAME) hereby petitions

the Nebraska Public Service Commission to allow (him/her) to formally intervene in the above-

captioned matter and to become a party hereto for all purposes as regards the application by

TransCanada Keystone Pipeline, L.P. for route approval of the Keystone XL Pipeline Project

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pursuant to the Major Oil Pipeline Siting Act. In support of (his/her) petition to formally intervene,

(Name) states as follows:

1. Correspondence or communications regarding this petition, including service of

all notices and orders of the Nebraska Public Service Commission should be addressed to:

Name
Address
Telephone:
Email:

2. The legal interest of the intervenor in the above-captioned proceeding is (describe

here the legal interest of the intervenor in becoming a formal intervener).

WHEREFORE, (Name) hereby respectfully requests the Commission, for the reasons

described above, to grant (his/her) petition to formally intervene on the Application.

DATED this ____ day of ______________, 2017.

By: ______________________ (Signature of Petitioner)

(Name)
(Address)
(Telephone number
 CERTIFICATE OF SERVICE

The undersigned hereby certifies that a true and correct copy of the above and foregoing
Petition of Formal Intervention was served on this (date) day of (month), 2017, upon the
following:

Jeff Pursley
Nebraska Public Service Commission
1200 N Street, Suite 300
Lincoln NE 68509-4927
jeff.pursley@nebraska.gov

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