AA Meeting Attendance Verification Form

A court-compliance form used to confirm that a defendant attended an Alcoholics Anonymous meeting, recording meeting details and signatures from the group leader and attendee.

Use this template

In the Claude connectors directory

Name of Defendant

First Name

Last Name

Name of Officer (If Known)

First Name

Last Name

Group Name

Group Reference Number (If Known)

Meeting Duration

Date of First Meeting in This Group

Address of Meeting

Street Address

City

State / Province

ZIP / Postal Code

Was It an "Open" Meeting?

Yes No

Please Give Details

Helpline Phone Number

Group Contact Information

Name 1

First Name

Last Name

Phone Number 1

Name 2

First Name

Last Name

Phone Number 2

Group Email Address

Group Leader Name (If Known)

First Name

Last Name

Additional Information

Signature of Defendant

Sign here

Signature of Group Leader

Sign here

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