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Speaker Card for Executive Board Meetings

To comment on a case at an executive board meeting, you must be added to the speaker list by using the form below, or you may call (916) 267-0857 and leave a message with the requested information. 

You can be added to the speaker list any time between now and the end of the meeting where the case is scheduled to be heard. To be added to the speaker list you can use your name, a pseudonym, or the last four digits of your telephone number. 

Please make sure the name or phone number you provide for the speaker list matches the name or phone number you use to log in to the meeting so your microphone can be enabled. At the meeting, the moderator will call on you by your name or the last four digits of your phone number when it is your turn to speak. 

This field is for validation purposes and should be left unchanged.

CONTACT INFORMATION

We will only use this information if we need to contact you to clarify your submission.

Best way to contact you:

SPEAKER CARD INFORMATION

Please fill out and submit a separate form for each speaker.

Date of Executive Board Meeting:

En Banc Cases

How Will You Attend the Meeting?
Name, pseudonym, or type Anonymous.
Select One:

General Public Comment (not en banc cases)

How Will You Attend the Meeting?
Name, pseudonym, or type Anonymous.

Other (consent calendar, discussion item, etc.)

How Will You Attend the Meeting?
Name, pseudonym, or type Anonymous.

If you would like to include additional speakers, please fill out and submit a separate form for each speaker.