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The document is a public hearing registration form issued by the New York State Office of Temporary and Disability Assistance, inviting individuals to provide input on the development of the 2002-2003 Home Energy Assistance Program (HEAP). It outlines details for two scheduled hearings in New York City and Albany, including dates, times, and registration instructions for participants wishing to make statements.

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Click ‘Get Form’ to open it in the editor.
Begin by selecting your preferred hearing location by checking the appropriate box for either New York City or Albany.
Fill in your name in the designated field to ensure proper identification during the hearing.
Provide your telephone number so that organizers can contact you if necessary.
Enter your title and affiliation, which helps contextualize your statement during the public hearing.
Complete your address in the provided space to facilitate any follow-up communication.
If you plan to make a public statement, remember to prepare three copies of your statement as required.

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2002	4.8 Satisfied (164 Votes)

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