PUBLIC HEARING REPLY FORM

Persons invited to and wishing to present testimony at the joint public hearing are requested to complete this reply form as soon as possible and mail, email or fax it to:

Dee Levy, Senior Analyst
Assembly Committee on Codes
AESOB, 11th Floor
Albany, New York 12248
Email: levyd@assembly.state.ny.us
Phone: (518) 455-4313
Fax: (518) 455-3669
box
I plan to attend the joint public hearing on the merger of the Division of Probation and Correctional Alternatives into the Division of Criminal Justice Services to be conducted by the Assembly Committee on Codes and the Assembly Committee on Correction on Thursday, November 17, 2011, in New York City.
box
I would like to make a public statement at the joint hearing on the merger of the Division of Probation and Correctional Alternatives into the Division of Criminal Justice Services to be conducted by the Assembly Committee on Codes and the Assembly Committee on Correction on Thursday, November 17, 2011, in New York City. My statement will be limited to ten (10) minutes, and I will answer any questions which may arise. I will provide twenty (20) copies of my prepared statement.
box
I will address my remarks to the following subjects:


box
I do not plan to attend the above hearing.
box
I would like to be added to the Committees' mailing list for notices and reports.
box
I would like to be removed from the Committees' mailing list.
box
I will require assistance and/or handicapped accessibility information. Please specify the type of assistance required:


IF YOU PLAN TO ATTEND, YOU MUST BRING A FORM OF PHOTO IDENTIFICATION

NAME:

TITLE:

ORGANIZATION:

ADDRESS:

E-MAIL:

TELEPHONE:

FAX TELEPHONE: