Certificate Of Completion Of Parenting Education Course
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1IN THE DISTRICT COURT OF __________________________ COUNTY, NEBRASKA
(county where Complaint filed)
_______________________________,
)
Case No. CI _____________
)
(name of Plaintiff on original action)
(case number assigned by Clerk of Court)
Plaintiff,
)
)
CERTIFICATE OF COMPLETION
vs.
)
OF PARENTING EDUCATION
)
COURSE
_______________________________,
)
)
(name of Defendant on original action)
Defendant.
)
1.
I am the _________________ in this action.
(plaintiff or defendant)
2.
On _______________, 20____, I completed a basic level parenting
(month and day)
(year)
education course given by one of the organizations approved by the State Court
Administrator’s Office.
3.
I have attached to this Certificate of Completion of Parenting Education
Course the paper I received from the Parenting Education Course provider that proves I
completed the course.
________________________________
(print name)
________________________________
Signature
________________________________
Address
________________________________
City, State, ZIP Code
________________________________
Telephone Number
Certificate of Completion of Parenting Education Course,
DC 6:5(5), PSC Nebraska, Rev. 3/11, Neb. Rev. Stat. 43-2928.
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