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THIS FORMAT MUST APPEAR ON THE OFFICIAL LETTERHEAD OF THE CITY/VILLAGE OR COUNTY EXCESSIVE FORCE CERTIFICATION On this ________________ day of ___________________ , 2______ , the ________________________________________________ of ________________________________________ (Title and Name of Chief Elected Official) (Name of Local Government Unit) does hereby certify to the Nebraska Department of Economic Development that the _____________________________________ has (Name of Local Government Unit) adopted and will enforce a policy to prohibit the use of excessive force by law enforcement agencies within its jurisdiction against any individual engaged in nonviolent civil rights demonstration. ________________________________________________ (Chief Elected Official) L:/CRD Web Forms/HOME Forms/Excessive Force Certification March 2004