PUBLIC HEARING REPLY FORM

Persons wishing to present testimony at the public hearing on The New York Health bill to create state single payer health coverage are requested to complete this reply form as soon as possible and mail, email or fax it to:

Estibaliz Alonso or Michelle Newman
Legislative Analysts
Assembly Committee on Health
Room 442 - Capitol
Albany, New York 12248
Email: alonsoe@assembly.state.ny.us; newmanm@assembly.state.ny.us
Phone: (518) 455-4371
Fax: (518) 455-4693
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I would like to testify at the following hearing:
[ ] Syracuse, Thursday, December 4 (please reply by Tuesday, November 25)
[ ] Rochester, Monday, December 8 (please reply by Monday, December 1)
[ ] Buffalo, Wednesday, December 10 (please reply by Monday, December 1)
[ ] New York City, Tuesday, December 16 (please reply by Tuesday, December 9)
[ ] Mineola, Wednesday, December 17 (please reply by Wednesday, December 10)
[ ] Albany, Tuesday, January 13 (please reply by Tuesday, January 6)
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I plan to attend the following public hearing:
[ ] Syracuse, Thursday, December 4
[ ] Rochester, Monday, December 8
[ ] Buffalo, Wednesday, December 10
[ ] New York City, Tuesday, December 16
[ ] Mineola, Wednesday, December 17
[ ] Albany, Tuesday, January 13
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I would like to be added to the Health Committee 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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