PUBLIC HEARING REPLY FORM

Persons planning to attend the public hearing on Legislation to Allow Adoptees to Access their Original Birth Certificate are requested to complete this reply form as soon as possible, but no later than Monday, January 27, by email or fax it to:

Michelle Newman
Legislative Analyst
Assembly Committee on Health
Room 442 - Capitol
Albany, New York 12248
Email: newmanm@assembly.state.ny.us
Phone: (518) 455-4371 Fax: (518) 455-4693
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I plan to attend the public hearing on Legislation to Allow Adoptees to Access their Original Birth Certificate to be conducted by the Assembly Committee on Health on Friday, January 31.
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I plan to make a public statement at the hearing. My statement will be limited to five 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 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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