PUBLIC HEARING REPLY FORM

Persons wishing to present testimony at the public hearing on Proposed Revision of the Anatomical Gift Act are requested to complete this reply form by Friday, October 23 and mail, e-mail or fax it to::

Elizabeth Hamlin, Legislative Associate
Assembly Committee on Health
LOB Room 822, Albany, New York 12248
E-mail: hamline@assembly.state.ny.us
Phone: (518) 455-4941, Fax: (518) 455-5939

or

Estibaliz Alonso
Assembly Program and Counsel
Alfred E. Smith Bldg, Fl. 23, Albany, NY 12248
E-mail: alonsoe@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 Proposed Revision of the Anatomical Gift Act to be conducted by the Assembly Committee on Health on October 29.
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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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