PUBLIC HEARING REPLY FORM

Persons wishing to present testimony at the public hearing on The Impact of the 2005-06 State Budget on the Programs Administered By NYSOFA are requested to complete this reply form as soon as possible and mail it to:

Debbie Holland
Legislative Associate
Assembly Committee on Aging
Room 522 - Capitol
Albany, New York 12248
Email: holland@assembly.state.ny.us
Phone: (518) 455-4371
Fax: (518) 455-4693


box I plan to make a public statement at the hearing on the Impact of the 2005-06 State Budget on the Programs Administered by NYSOFA conducted by the Assembly Committee on Aging on January 12, 2006. 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.

box I will address my remarks to the following subjects:





box

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






NAME:

TITLE:

ORGANIZATION:

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