PUBLIC HEARING REPLY FORM

Persons invited to and wishing to present testimony at the joint public hearing on Mental Health Treatment in Prison are requested to complete this reply form as soon as possible and mail, email or fax it to:

Tana Agostini
Analyst
Assembly Committee on Corrections
AESOB, 11th Floor
Albany, New York 12248
Email: agostinit@assembly.state.ny.us
Phone: (518) 455-4313
Fax: (518) 455-3669
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I plan to attend the joint public hearing on Mental Health Treatment in Prison to be conducted by the Assembly Committee on Correction and the Assembly Committee on Mental Health on Tuesday, December 6, 2011, in Albany.
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I have been invited to testify and would like to make a public statement at the joint hearing. My statement will be limited to ten (10) minutes, and I will answer any questions which may arise. I will provide twenty (20) 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 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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