PUBLIC HEARING REPLY FORM

Persons wishing to present testimony at the public hearing are requested to complete this reply form as soon as possible and mail or email same to:

Lowell R. Siegel
Counsel
Assembly Committee on Judiciary
Room 831 - Legislative Office Building
Albany, New York 12248
Phone: (518) 455-5462
Email: siegell@assembly.state.ny.us
Fax: (518) 455- 5752


box I plan to attend the following public hearing on Judicial Selection to be conducted by the Assembly Committee on Judiciary in New York City on November 15, 2006.

box I plan to attend the following public hearing on Judicial Selection to be conducted by the Assembly Committee on Judiciary in Rochester on November 21, 2006.

box I plan to attend the following public hearing on Judicial Selection to be conducted by the Assembly Committee on Judiciary in Albany on December 15, 2006.

box I plan to make a public statement at the hearing. My statement will be limited to ten minutes, and I will answer any questions which may arise. I will provide 10 copies of my prepared statement to the Committee.

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I will address my remarks to the following subjects:



box I do not plan to attend the above hearing.

box I would like to be added to the Committee mailing list for notices and reports.

box I would like to be removed from the Committee mailing list.

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I will require assistance and/or handicapped accessibility information. Please specify the type of assistance required:




NAME:

TITLE:

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ADDRESS:

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