PUBLIC HEARING REPLY FORM

Persons wishing to present testimony at the public hearing on New York State's Local Conditional Release System are requested to complete this reply form as soon as possible and mail it to:

Richard McDonald
Legislative Associate
Assembly Committee on Correction
Room 513 - Capitol
Albany, New York 12248
Email: mcdonad@assembly.state.ny.us
Phone: (518) 455-4313
Fax: (518) 455-4128.


box I plan to attend the following public hearing on New York State's Local Conditional Release System to be conducted by the Assembly Committee on Correction in Albany on January 11, 2005.

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.

box 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.

box

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




NAME:

TITLE:

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ADDRESS:

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