PUBLIC HEARING REPLY FORM

Persons wishing to present testimony at the public hearing on prescription drug abuse are requested to complete this reply form as soon as possible and mail, e-mail or fax it to:

Willie Sanchez
Legislative Associate
Assembly Committee on Alcoholism and Drug Abuse
Room 522 - Capitol
Albany, New York 12248
E-mail: sanchezw@assembly.state.ny.us
Phone: (518) 455-4371
Fax: (518) 455-4693
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I plan to attend the following public hearing on prescription drug abuse to be conducted by the Assembly Committee on Alcoholism and Drug Abuse & the Assembly Committee on Health on Thursday, September 10, 2009.
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I plan to testify at the hearing on prescription drug abuse to be conducted by the Assembly Committee on Alcoholism and Drug Abuse & the Assembly Committee on Health on Thursday, September 10, 2009. 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.
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I will address my remarks to the following subjects:


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I do not plan to attend the above hearing.
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I would like to be added to the Committees' mailing list for notices and reports.
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I would like to be removed from the Committees' 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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