PUBLIC HEARING REPLY FORM
Persons wishing to present testimony at the public hearing on military related suicides and the role of the State in reducing the rate among veterans 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 military related suicides and the role of the state in reducing the rate among veterans to be conducted by the Assembly Committees on Veterans' Affairs, Mental Health and Subcommittee on Women Veterans on Tuesday, October 8, 2013.
I plan to make a public statement at the hearing. My statement will be limited to ten 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: