PUBLIC HEARING REPLY FORM
Persons wishing to present testimony at the public hearing on Regional Centers of Excellence are requested to complete this reply form as soon as possible and mail, email or fax it to:
Katie L. Birchenough
Legislative Analyst
Assembly Committee on Mental Health and Developmental Disabilities
Room 422 - Capitol
Albany, New York 12248
Email: birchenoughk@assembly.state.ny.us
Phone: (518) 455-4371
Fax: (518) 455-4693
I plan to attend the following public hearing on Regional Centers of Excellence to be conducted by the Assembly Committee on Mental Health and Developmental Disabilities on September 9, 2013 in Farmingdale, NY.
I plan to attend the following public hearing on Regional Centers of Excellence to be conducted by the Assembly Committee on Mental Health and Developmental Disabilities on September 17, 2013 in Ogdensburg, NY.
I plan to attend the following public hearing on Regional Centers of Excellence to be conducted by the Assembly Committee on Mental Health and Developmental Disabilities on September 19, 2013 in Middletown, NY.
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:
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