PUBLIC HEARING REPLY FORM

Persons wishing to present testimony at the public hearing on Studying the Efforts of State Agencies to Prevent Financial Exploitation of the Elderly are requested to complete this reply form as soon as possible and mail, email or fax it to:

Erin Cunningham
Committee Analyst
Assembly Committee on Aging
Alfred E. Smith Office Building - Fl 22
Albany, New York 12248
Email: cunnine@assembly.state.ny.us
Phone: (518) 455-4355
Fax: (518) 455-7250
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I plan to attend the following public hearing on Studying the Efforts of State Agencies to Prevent Financial Exploitation of the Elderly to be conducted by the Assembly Committees on Aging and Banks on December 11, 2012.
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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.
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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 Committee's mailing list for notices and reports.
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I would like to be removed from the Committee's 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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