PUBLIC HEARING REPLY FORM

Persons wishing to present testimony at the Local Government Budget Implementation Hearing are requested to complete this reply form as soon as possible and mail it to:

Michelle Milot
Senior Legislative Associate
Assembly Committee on Local Governments
Room 520 - Capitol
Albany, New York 12248
Email: milotm@assembly.state.ny.us
Phone: (518) 455-4363
Fax: (518) 455-5182


box I plan to attend the Local Government Budget Implementation Hearing to be conducted by the Assembly Committees on Local Governments and Governmental Operations on December 5, 2005.

box I plan to make a public statement at the hearing. 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:



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:

ORGANIZATION:

ADDRESS:

E-MAIL:

TELEPHONE:

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