This government document is issued by Nebraska Crime Commission for use in Nebraska
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https://www.google.com/url?client=internal-element-cse&cx=003873714344695240192:bnkdfcgybvo&q=https://ncc.nebraska.gov/sites/default/files/doc/LB593complaintform.pdf&sa=U&ved=2ahUKEwidjPCRnK2GAxUW8wIHHXUVBFc4FBAWegQICBAB&usg=AOvVaw222N6pkxMbONNXwLpY-4RV&arm=e&fexp=72519171,72519168