Public Sign Up Form

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Public Comment/Public Hearing Sign Up Form

The form must be submitted by Noon on the Monday before the Public Hearing or any Public Meeting with a scheduled public comment period. Failure to pre-register accurately may result in a speaker not being permitted to speak.

One form must be submitted for each public hearing.

An asterisk (*) indicates a required field.

I am registering to speak at the Public Hearing before the Board of County Commissioners *

County Administration Building
100 West Washington Street Hagerstown, MD 21740

Public Safety Training Center
18350 Public Safety Place,
Hagerstown, MD 21740

Accurate Home Address *

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Topic/Concern (Topic/concern must be related to the subject matter of the Public Hearing or the Public Meeting with a scheduled public comment period.) *

If speaking on behalf of your business, please provide the following:

Business Name

Business Address

Address Line 1

Address Line 2

City

State

Zip Code

matter comment or

Topic/Concern (Topic/concern must be related to the subject matter of the Public Hearing or the Public Meeting with a scheduled public comment period.)

If speaking on behalf of an organization or group, please provide the following:

Topic/Concern (Topic/concern must be related to the subject matter of the Public Hearing)

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