PUBLIC HEARING REPLY FORM
Persons wishing to present testimony at the public hearing, An examination of the workers' compensation fee schedules in New York State
, are requested to complete this reply form by Wednesday, December 17, 2014 and mail, email, or fax it to:
I plan to attend the public hearing, An examination of the workers' compensation fee schedules in New York State, to be conducted by the Assembly Committee on Friday, December 19, 2014.
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 statement.
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: