Neb. Admin. Code PROFESSIONAL PRACTICES COMMISSION, tit. 95, ch. 2, app B
BEFORE THE NEBRASKA PROFESSIONAL PRACTICES COMMISSION STATE OF NEBRASKA
)
___________________________) Case No. ___(leave blank)___
(Name of Commissioner)
)
) ANSWER
COMMISSIONER OF EDUCATION,)
_____________________________)
(Address)
______________________________)
Petitioner,)
vs.)
______________________________)
(Name))
______________________________)
(Address))
______________________________,)
Respondent.
COMES NOW Respondent, (name), and, for his/her answer
to the Petition admits, denies, and alleges as follows:
(Respondent shall include specific statements regarding any and all allegations in the Petition, which shall be in the form of admissions, denials, explanatory remarks, or statements of mitigating circumstances; and any additional facts or information the Respondent deems relevant and which may be of assistance in the ultimate determination of the case.)
WHEREFORE, Respondent prays that the Professional Practices Commission dismiss the Petition is this matter (and/or state any additional action sought).
________________________________
(Signature of Respondent or signature and address of his or her attorney)
VERIFICATION
State of Nebraska)
)
County of_______________)
I, ___________, being first duly sworn under oath, state that I have read the contents of the Answer and that to the best of my knowledge, information, and belief such contents are true.
_____________________
Signature of Respondent
The foregoing instrument was subscribed and sworn to before me on this_________________ day of _____________, 19 _____, by (Name of Respondent) .
__________________________
Notary Public
CERTIFICATE OF SERVICE
I certify that a copy of the foregoing Answer, was served, U.S. Mail, upon the Commissioner of Education at the following address:________________ this___________ day of ____________, 19 ____.
_______________________________
Signature of Respondent
Neb. Admin. Code PROFESSIONAL PRACTICES COMMISSION, tit. 95, ch. 2, app B