PUBLIC HEARING REPLY FORM
Persons wishing to present testimony at the public hearing on rent regulated housing are
requested to complete this reply form as soon as possible and mail, email or fax it to:
I plan to attend the following public hearing on rent regulated housing to be conducted
by the Assembly Committee on Housing on January 20, 2011.
I have been invited to make a public statement at the hearing. My statement will be limited to
ten (10) minutes, and I will answer any questions which may arise. I will provide 10 copies of my
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 Committee's mailing list for notices and reports.
I would like to be removed from the Committee's mailing list.
I will require assistance and/or handicapped accessibility information.
Please specify the type of assistance required: