PUBLIC HEARING REPLY FORM

Persons wishing to present testimony at the public hearing on strengthening families through preventive services programs are requested to complete this reply form as soon as possible and mail it to:

Katie Birchenough
Assembly Committee on Children and Families
Room 522 - Capitol
Albany, New York 12248
Email: birchek@assembly.state.ny.us
Phone: (518) 455-4371
Fax: (518) 455-4693
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I plan to attend the following public hearing on strengthening families through preventive services programs to be conducted by the Assembly Committee on Children and Families.
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I have been invited to make a public statement at the hearing. My statement will be limited to ten (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 Committees' mailing list for notices and reports.
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I would like to be removed from the Committees' 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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