JOINT PUBLIC HEARING REPLY FORM

Persons wishing to present testimony at the public hearing on Maternal Mortality are requested to complete this reply form as soon as possible: by Feb. 17 for those seeking to testify in person, and by Feb. 21 for those seeking to submit written testimony. Written testimony can be submitted directly as a Word (.docx) or PDF file through the form below.

I would like to provide testimony for this hearing

One file only.
2 MB limit.
Allowed types: pdf, docx.
I would like to be added to the Committee mailing list for notices and reports.
I will require assistance and/or handicapped accessibility information.
(if yes what type of assistance is required)
ALL INFORMATION BELOW MUST BE COMPLETED