Notice of Public Hearing -

PUBLIC HEARING REPLY FORM

Persons wishing to present testimony at the public hearing on employment programs offered by the Office of Mental Health (OMH) and Office of Mental Retardation and Developmental Disabilities (OMRDD) are requested to complete this reply form as soon as possible and mail, email or fax it to:

Chinasa Izeogu
Analyst
Assembly Committee on Mental Health
Room 522 - Capitol
Albany, New York 12248
Email: izeoguc@assembly.state.ny.us
Phone: (518) 455-4371
Fax: (518) 455-4693

I plan to attend the following public hearing on employment programs offered by the Office of Mental Health (OMH) and Office of Mental Retardation and Developmental Disabilities (OMRDD) to be conducted by the Assembly Committee on Mental Health on December 18, 2009.

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.

I will address my remarks to the following subjects:

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I would like to be added to the Committee's mailing list for notices and reports.

I would like to be removed from the Committee's mailing list.

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

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NAME:

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TITLE:

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ORGANIZATION:

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ADDRESS:

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E-MAIL:

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TELEPHONE:

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FAX TELEPHONE:

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