PUBLIC HEARING REPLY FORM

Persons invited to present oral testimony at the public hearing on the State Insurance Department Budget or wishing to submit written testimony for the public record are requested to complete this reply form as soon as possible and mail, e-mail or fax it to:

Chris Hahm
Legislative Analyst
Assembly Committee on Insurance
23rd Floor, Alfred E. Smith Building
Albany, New York 12248
E-mail: hahmc@assembly.state.ny.us
Phone: (518) 455-4311
Fax: (518) 455-7095
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I plan to attend the following public hearing on State Insurance Department Budget to be conducted by the Assembly Committee on Insurance on December 3rd.
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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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