PUBLIC HEARING REPLY FORM
Persons interested in presenting testimony at the public hearing on Implementation of Food Safety
Consumer Protections to be held on December 8, 2009, or who wish to submit written testimony
only, are requested to complete and return this reply form to:
Alfred E. Smith Office Building
80 South Swan St., Floor 22
Albany, New York 12248
Phone: (518) 455-4355
Fax: (518) 455-7250
I plan to attend the public hearing on Implementation of Food Safety Consumer Protections
to be conducted by the Assembly Committees on Agriculture and Consumer Affairs and
Protection on December 8, 2009.
I plan to make a public statement at the hearing. My statement will be limited to 10 minutes,
and I will answer any questions which may arise. I will provide 10 copies of my prepared
I will address my remarks to the following subjects:
I do not plan to attend the above hearing.
I would like to be added to the Committees' mailing list for notices and reports.
I would like to be removed from the Committees' mailing list.
I will require assistance and/or handicapped accessibility information.
Please specify the type of assistance required: