PUBLIC HEARING REPLY FORM

Persons wishing to present testimony at the public hearing on New York State’s response to viral hepatitis are requested to complete this reply form as soon as possible and mail it to:

Bill Eggler
Legislative Associate
Assembly Committee on Alcoholism and Drug Abuse
Room 522 - Capitol
Albany, New York 12248
(518) 455-4371
(518) 455-4693 (fax)
egglerw@assembly.state.ny.us


box I plan to attend this public hearing

box I plan to make a public statement at the hearing. 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.

box I will address my remarks to the following subjects:




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.

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






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