AA / NA VERIFICATION You must have this form signed by the ...
AA / NA VERIFICATION
You must have this form signed by the Chairperson immediately following the meeting.
For counting purposes, the week begins with Sunday and ends with Saturday.
If you are required to attend 5 meetings per week, you must attend on at least 4 different days.
If you are required to attend 4 meetings per week, you must attend on at least 3 different days.
If you are required to attend 3 meetings per week, you must attend on at least 3 different days.
For counting purposes, the corner * indicates the beginning of a week.
______________________________________
Name
Location of Meeting
*
*
*
*
Date
Time
_______________________________________
Case Number
Chairperson / Phone #
Topic
................
................
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