PUBLIC HEARING REPLY FORM

Persons wishing to present comments at the public hearing examining the problem of economic abuse as a form of domestic abuse, and the adequacy of state law and services available to victims of domestic violence are requested to complete this reply form as soon as possible and mail, email or fax it to:

Dee Levy
Senior Analyst
Assembly Committee on Codes
Alfred E. Smith Building, Suite 1147
80 South Swan Street
Albany, New York 12248
Email: levyd@assembly.state.ny.us
Phone: (518) 455-4313 Fax: (518) 455-3669
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I plan to attend the following public hearing on economic abuse as a form of domestic abuse to be conducted by the Assembly Committees on Codes and Judiciary on December 5, 2012
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I plan to participate and make a public statement at the hearing.
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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 Committees' mailing list for notices and reports.
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I would like to be removed from the Committees' 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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