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:

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


box I plan to attend the following public hearing on reform of the Justice Courts to be conducted by the Assembly Committees on Judiciary and Codes in Albany on December 14, 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:

ORGANIZATION:

ADDRESS:

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