PUBLIC HEARING REPLY FORM

Persons wishing to present testimony at the public hearing on Caregiver Support / Respite Services for Caregivers of Older New Yorkers are requested to complete this reply form as soon as possible and mail it to:

Debbie Holland
Legislative Associate
Assembly Committee on Aging
Room 522 - Capitol
Albany, New York 12248
Email: holland@assembly.state.ny.us
Phone: (518) 455-4371
Fax: (518) 455-4693


box I plan to make a public statement at the public hearing on Caregiver Support / Respite Services for the Caregivers of Older New Yorkers on May 25, 2006 at the Monroe County Hospital in Rochester. 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 will require assistance and/or handicapped accessibility information. Please specify the type of assistance required:




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