Nebraska State Court Form CERTIFICATE OF COMPLETION …CERTIFICATE OF COMPLETION OF PARENTING EDUCATION COURSE Page 1 of 1 Certificate of Completion of Parenting Education Course DC
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(county where Complaint filed)
_______________________________, Case No. CI _____________(name of plaintiff on original action) (case number assigned by clerk of court)Plaintiff,
vs.
_______________________________, (name of defendant on original action) Defendant.
CERTIFICATE OF COMPLETION OF PARENTING EDUCATION COURSE
1. I am the _________________ in this action. (plaintiff or defendant)
2. On _________________, I completed a parenting education course (date)
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.
Nebraska State Court Form CERTIFICATE OF
COMPLETION OF PARENTING EDUCATION COURSE
Page 1 of 1Certificate of Completion of Parenting Education Course DC 6:5.5 Rev. 01/2020
DC 6:5.5 Rev. 01/2020 Neb. Rev. Stat. § 43-2928
Date Signature
Name Street Address/P.O. Box
City/State/ZIP Code
Phone E-mail Address
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