PUBLIC HEARING REPLY FORM


Persons wishing to present testimony at the public hearing on air quality issues in Lower Manhattan in the aftermath of September 11 are requested to complete the following reply form by April 9, 2002 and mail or fax it to:


Alex Roth, Senior Legislative Analyst
Assembly Committee on Environmental Conservation
Room 520 - Capitol, Albany, New York 12248
Phone: (518) 455-4363; fax: (518) 455-5182

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I plan to attend the April 12, 2002 public hearing.

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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 20 copies of my prepared statement. I will address my remarks to the following subjects:







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I do not plan to attend the above hearing.

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I would like to be added to the Committee mailing list for notices and reports.

box I would like to be removed from the Committee mailing list.

In order to meet the needs of those who may have a disability, the Assembly, in accordance with its policy of non-discrimination on the basis of disability, as well as the 1990 Americans with Disabilities Act (ADA), has made its facilities and services available to all individuals with disabilities. For individuals with disabilities, accommodations will be provided, upon reasonable request, to afford such individuals access and admission to Assembly facilities and activities.


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I will require assistance and/or handicapped accessibility information. Please specify the type of assistance required:



NAME:

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