PUBLIC HEARING REPLY FORM
Persons invited to and wishing to present testimony at the joint public hearing are requested
to complete this reply form as soon as possible and mail, e-mail or fax it to:
I plan to attend the joint public hearing on the funding and implementation of the Rockefeller Drug
Law reform legislation to be conducted by the Assembly Committees on Codes, Correction,
Alcoholism and Drug Abuse and Judiciary, on Monday, December 20, 2010, in New York City.
I have been invited to testify and would like to make a public statement at the joint hearing.
My statement will be limited to ten (10) minutes, and I will answer any questions which may
arise. I will provide twenty (20) 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:
IF YOU PLAN TO ATTEND, YOU MUST BRING A FORM OF PHOTO IDENTIFICATION