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2019
AB 617 Community SelfRecommendation Form
Please fill out this form by June 30, 2019, and
Email it to:
ab617×ADMD.monorail it to:
Attn: AB617 forms
21865 Copley Dr.
Diamond Bar, CA 91765Note:
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How to fill out ab617 community input form
How to fill out ab617 community input form
01
To fill out the AB617 community input form, follow these steps:
02
Start by downloading or obtaining a copy of the AB617 community input form.
03
Read through the form carefully to understand the information required.
04
Begin with your personal details such as name, address, and contact information.
05
Provide information about the community or neighborhood you belong to.
06
Answer all the questions related to air quality concerns, pollution sources, and impacts.
07
If applicable, share any experiences or incidents related to air pollution that you have personally witnessed.
08
Describe any specific health issues or effects you or your community have experienced due to poor air quality.
09
Offer suggestions or proposals to address the air quality problems in your community.
10
Review the form once completed to ensure all fields are appropriately filled out.
11
Submit the filled-out AB617 community input form through the designated submission channels.
12
Keep a copy of the completed form for your records.
13
Follow up with the relevant authorities or organizations involved in the AB617 program if necessary.
Who needs ab617 community input form?
01
The AB617 community input form is needed by individuals or groups who are part of communities experiencing environmental justice issues and air pollution problems.
02
Specifically, community members residing in areas affected by elevated pollution levels, high rates of asthma or other respiratory illnesses, or have witnessed adverse health impacts due to poor air quality benefit from filling out the AB617 community input form.
03
This form allows affected individuals or community members to voice their concerns, provide valuable input, and propose strategies to improve air quality in their respective neighborhoods.
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What is ab617 community input form?
AB617 community input form is a document used to gather input from communities affected by air pollution in order to identify areas for improvement and develop air quality plans.
Who is required to file ab617 community input form?
Community members, organizations, and stakeholders in areas affected by air pollution are required to file the AB617 community input form.
How to fill out ab617 community input form?
To fill out the AB617 community input form, individuals can visit the designated website or contact the relevant agency for assistance.
What is the purpose of ab617 community input form?
The purpose of the AB617 community input form is to collect feedback and suggestions from community members on air quality issues affecting their area.
What information must be reported on ab617 community input form?
The AB617 community input form may require information such as personal details, specific air quality concerns, and suggestions for improvement.
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