PUBLIC HEARING REPLY FORM

Persons wishing to present testimony at the public hearing on Jury Pool Diversity are requested to complete this reply form as soon as possible and mail, e-mail or fax it to:

Clayton Rivet
Team Counsel
Assembly Committees on Judiciary And Codes
Suite 1147 - Alfred E. Smith Building
Albany, New York 12248
E-mail: rivetc@assembly.state.ny.us
Phone: (518) 455-4313
Fax: (518) 455-3669
box
I plan to attend the following public hearing on Jury Pool Diversity to be conducted by the Assembly Committees on Judiciary and Codes on April 30, 2009.
box
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.
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's mailing list for notices and reports.
box
I would like to be removed from the Committee's 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:


FAX TELEPHONE: