Free Certificate of Completion of Parenting Education Course, DC 6:5(5) - Nebraska

STATE OF NEBRASKA FORM NO. DC 6:5(5) Rev. 1/08 Neb. Rev. Stat. 43-2928

CERTIFICATE OF COMPLETION OF PARENTING EDUCATION COURSE

CASE NUMBER:
(assigned by Clerk of Court)

IN THE DISTRICT COURT OF __________________________ COUNTY, NEBRASKA
(county where Complaint filed)

_______________________________,
(your full name)

Plaintiff, vs. _______________________________,
(spouse's full name)

Defendant. 1.
(plaintiff or defendant)

) ) ) ) ) ) ) ) )

CERTIFICATE OF COMPLETION OF PARENTING EDUCATION COURSE

I am the _________________ in this action for Dissolution of Marriage.

2.

On _______________, 20____, I completed a basic level parenting
(month and day) (year)

education course given by one of the organizations approved by the District Court of ____________________ County, Nebraska.
(county where Complaint filed)

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

________________________________
Street Address

________________________________
City, State, ZIP Code

________________________________
Telephone Number

1