Statement of issue, idea, suggestion, or agenda item:

Information, data, and additional comments that the committee would need to know to deal with the statement:

Your reasons and interests for having the committee work on this statement:

Suggested Solution:

Contact information for clarification or further information on this issue:

Name:Phone:

Please attach additional explanation sheets and exhibits if needed.

Are there attachments:How many sheets:

Instructions: This is a fillable form. After you submit your comments on the form, you will need to save the form as a document. To submit the form, you will attach it to an email to livlmc@mt.gov your comments on the form, you will need to save the form as a document. To submit the form you will attach it to an email to livlmc@mt.gov