Public Comment Request Form

This form shall be completed by each person requesting to appear and speak before any Central Florida HIV Planning Council business or committee meeting.

Please fill out this form only if you meet these criteria:

You would like to appear in front of the Planning Council to submit a public comment in person or you would like to appear via teleconference and can verify your identity on the virtual meeting platform.

CFHPC Rules Governing Public Comment

Visit the Calendar page to view the date, location, and virtual meeting information for all Planning Council business and committee meetings.

Date / Time

Date

Time

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Email (Optional)

Phone (Optional)

Topic** *

Previous contact with Planning Council Support staff (if any) regarding this matter (Name/Title):

Which meeting would you like your comment to be addressed at? *

Membership & Engagement Committee
Service System Planning & Quality Committee
Ryan White Community Meeting
Executive Committee Meeting
Planning Council Business Meeting

Please enter the date of the meeting that you would like your comment to be addressed at: *

You can reference the Calendar page on our website for a list of upcoming meetings.

Please Read

**Comment will not be taken relating to the following official actions: action taken in an emergency situation, ministerial acts, at meetings exempt from the Sunshine law, and when the Planning Council is acting in quasi-judicial capacity.

Appearances are limited to three minutes; however, the Chair may decrease the allotment of time to speak depending on the number of speakers. If you wish to donate your time to another speaker, you must indicate the name of the designated speaker below; by doing so, you allot one additional minute to the designated speaker and forfeit your remaining time. You must be present when the designated speaker is called. If you are not present, your donation of one minute is void. A designated speaker is limited to a maximum of 10 minutes.

I will not speak. I donate my time to:

Have you received or been promised any compensation or anything else of value, including money or gifts, related to the topic you are appearing and speaking about at today’s public comment? *

Please indicate if you have a translator and need additional time to allow for translation in order to provide public comment. *

PLEASE NOTE: Florida has a very broad public records law (Chapter 119, Florida Statutes). This document is a public record and may be disclosed to the public and media at any time.

Please Read

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