Free community service form 01
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AOC-343
Rev. 4-19
Page 1 of 1

Doc. Code: COP

Case No.
Court

Commonwealth of Kentucky
Court of Justice
www.courts.ky.gov
KRS 533.070

County

Certificate Of Performance
Of Community Service

This will certify that

Division
has performed community service

(Defendant's Name)

at the direction of

as follows:
(Court)

1. The nature of the supervised community service has been:
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
2. Such service has been performed at the following times:
Date

COLUMN I
No. Hours

Total Hours:

0.00

COLUMN II

Date

COLUMN III

No. Hours

Total Hours: 0.00

Date

Total Hours:

TOTAL COLUMNS I, II AND III:

No. Hours

0.00

0.00

OR
3.  Defendant failed to complete community service as court ordered.
This will further cer