| 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 |