PUBLIC HEARING REPLY FORM

Persons wishing to present testimony at the public hearing regarding family support programs funded in the New York State Budget for individuals with disabilities are requested to complete this reply form as soon as possible and mail it to:

Jennifer Best
Senior Analyst
Assembly Committee on Mental Health
Room 522 - Capitol
Albany, New York 12248
Email: bestj@assembly.state.ny.us
Phone: (518) 455-4371
Fax: (518) 455-4693
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I plan to attend the following public hearing on family support programs funded in the New York State Budget for individuals with disabilities on October 26, 2010.
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I plan to make a public statement at the hearing on October 26, 2010. 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.
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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's mailing list for notices and reports.
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I would like to be removed from the Committee's mailing list.
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I will require assistance and/or handicapped accessibility information. Please specify the type of assistance required:


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