Neb. Admin. Code EDUCATION, DEPARTMENT OF, tit. 92, ch. 28, app C
BEFORE THE STATE BOARD OF EDUCATION STATE OF NEBRASKA
___________________________________)
(Name of Commissioner))
)
COMMISSIONER OF EDUCATION,)
___________________________________)
(Address)) CASE NO. ________________
__________________________________,)
)
Petitioner,)
)
vs.) ANSWER
)
___________________________________)
(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 complaint, 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 State Board of Education dismiss the petition in 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)
) ss
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.
Subscribed and sworn before me this ________ day of _______, 19___, by
(Name of Respondent) .
(Seal)
_________________________________
Notary Public
The foregoing instrument was subscribed and sworn to before me this____ day of __________________, 19____, by (Name of Respondent) .
(Seal)
_________________________________
Notary Public
CERTIFICATE OF SERVICE
I hereby certify that a copy of the above answer, including a copy of any exhibits cited therein, were mailed to the following persons by regular first-class mail, postage prepaid, this ________ day of _________________, 19___.
__________________________________
(Signature of Respondent)
(List names and addresses) ________________________
__________________________________ ___________________________
_____________________________ _________________________________
_____________________________ _________________________________
Neb. Admin. Code EDUCATION, DEPARTMENT OF, tit. 92, ch. 28, app C