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AA / NA Meeting Attendance Log (Fillable Form) Template
Keep an organized record of AA / NA meeting attendance with a clear, court-friendly fillable log form.
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AA / NA Meeting Attendance Log (Fillable Form) Template
[Participant Full Name]
[Date of Birth: MM/DD/YYYY]
[Street Address]
[City, State/Province, ZIP/Postal Code]
[Phone Number]
[Email Address]
1. Case and Supervising Authority Information
Court / Agency Name: [Name of Court / Probation Department / Program]
Case / Docket Number: [Case Number]
Supervising Officer / Counselor: [Name, if applicable]
Phone / Email of Supervising Officer or Program: [Contact Information]
2. Meeting Requirement Summary
Total AA / NA Meetings Required: [Number]
Minimum Meetings per Week / Month (if applicable): [Requirement]
Program Start Date: [Date]
Program End Date / Review Date: [Date or “To Be Determined”]
3. Instructions for Participant
Bring this log to each AA / NA or similar support meeting.
Politely ask a group representative (such as the secretary, chairperson, or leader) to provide a signature or initials for verification.
Fill out all sections clearly and legibly in ink.
If additional pages are used, keep all pages together when submitting to court, probation, or your program.
4. AA / NA Meeting Attendance Log
Meeting 1
Date: [MM/DD/YYYY]
Start Time: [Time]
End Time: [Time]
Type of Meeting: [AA / NA / Other]
Format: [In-Person / Online / Hybrid]
Group Name: [Name of Group]
Meeting Location / Online Platform: [Address or Online Platform/Link Description]
Group Representative Name (Print): [Name]
Group Representative Signature / Initials: [Signature / Initials]
Verification / Notes (optional): [Brief Notes]
Meeting 2
Date: [MM/DD/YYYY]
Start Time: [Time]
End Time: [Time]
Type of Meeting: [AA / NA / Other]
Format: [In-Person / Online / Hybrid]
Group Name: [Name of Group]
Meeting Location / Online Platform: [Address or Online Platform/Link Description]
Group Representative Name (Print): [Name]
Group Representative Signature / Initials: [Signature / Initials]
Verification / Notes (optional): [Brief Notes]
Meeting 3
Date: [MM/DD/YYYY]
Start Time: [Time]
End Time: [Time]
Type of Meeting: [AA / NA / Other]
Format: [In-Person / Online / Hybrid]
Group Name: [Name of Group]
Meeting Location / Online Platform: [Address or Online Platform/Link Description]
Group Representative Name (Print): [Name]
Group Representative Signature / Initials: [Signature / Initials]
Verification / Notes (optional): [Brief Notes]
Meeting 4
Date: [MM/DD/YYYY]
Start Time: [Time]
End Time: [Time]
Type of Meeting: [AA / NA / Other]
Format: [In-Person / Online / Hybrid]
Group Name: [Name of Group]
Meeting Location / Online Platform: [Address or Online Platform/Link Description]
Group Representative Name (Print): [Name]
Group Representative Signature / Initials: [Signature / Initials]
Verification / Notes (optional): [Brief Notes]
Meeting 5
Date: [MM/DD/YYYY]
Start Time: [Time]
End Time: [Time]
Type of Meeting: [AA / NA / Other]
Format: [In-Person / Online / Hybrid]
Group Name: [Name of Group]
Meeting Location / Online Platform: [Address or Online Platform/Link Description]
Group Representative Name (Print): [Name]
Group Representative Signature / Initials: [Signature / Initials]
Verification / Notes (optional): [Brief Notes]
Meeting 6
Date: [MM/DD/YYYY]
Start Time: [Time]
End Time: [Time]
Type of Meeting: [AA / NA / Other]
Format: [In-Person / Online / Hybrid]
Group Name: [Name of Group]
Meeting Location / Online Platform: [Address or Online Platform/Link Description]
Group Representative Name (Print): [Name]
Group Representative Signature / Initials: [Signature / Initials]
Verification / Notes (optional): [Brief Notes]
Meeting 7
Date: [MM/DD/YYYY]
Start Time: [Time]
End Time: [Time]
Type of Meeting: [AA / NA / Other]
Format: [In-Person / Online / Hybrid]
Group Name: [Name of Group]
Meeting Location / Online Platform: [Address or Online Platform/Link Description]
Group Representative Name (Print): [Name]
Group Representative Signature / Initials: [Signature / Initials]
Verification / Notes (optional): [Brief Notes]
Meeting 8
Date: [MM/DD/YYYY]
Start Time: [Time]
End Time: [Time]
Type of Meeting: [AA / NA / Other]
Format: [In-Person / Online / Hybrid]
Group Name: [Name of Group]
Meeting Location / Online Platform: [Address or Online Platform/Link Description]
Group Representative Name (Print): [Name]
Group Representative Signature / Initials: [Signature / Initials]
Verification / Notes (optional): [Brief Notes]
Meeting 9
Date: [MM/DD/YYYY]
Start Time: [Time]
End Time: [Time]
Type of Meeting: [AA / NA / Other]
Format: [In-Person / Online / Hybrid]
Group Name: [Name of Group]
Meeting Location / Online Platform: [Address or Online Platform/Link Description]
Group Representative Name (Print): [Name]
Group Representative Signature / Initials: [Signature / Initials]
Verification / Notes (optional): [Brief Notes]
Meeting 10
Date: [MM/DD/YYYY]
Start Time: [Time]
End Time: [Time]
Type of Meeting: [AA / NA / Other]
Format: [In-Person / Online / Hybrid]
Group Name: [Name of Group]
Meeting Location / Online Platform: [Address or Online Platform/Link Description]
Group Representative Name (Print): [Name]
Group Representative Signature / Initials: [Signature / Initials]
Verification / Notes (optional): [Brief Notes]
5. Participant Certification
I, [Participant Full Name], certify that the information recorded in this AA / NA Meeting Attendance Log is true and accurate to the best of my knowledge and that I attended the meetings listed above on the dates shown.
Participant Signature: [Signature]
Date: [Date]
6. Supervising Officer / Counselor Review (If Applicable)
Reviewed by: [Supervising Officer / Counselor Name]
Title / Agency: [Title / Agency Name]
Date of Review: [Date]
Signature: [Signature]
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AA / NA Meeting Attendance Log (Fillable Form) Template
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For quick answers, scroll below to see the FAQ.
Click below for detailed info on the template.
For quick answers, scroll below to see the FAQ.
AA / NA MEETING ATTENDANCE LOG (FILLABLE FORM) TEMPLATE FAQ
What is an AA / NA meeting attendance log form?
An AA / NA meeting attendance log form is a written record used to document Alcoholics Anonymous (AA), Narcotics Anonymous (NA), or similar support group meetings you attend. It typically includes the date, time, group name, location, and a signature or initials from a group representative to verify your attendance for court, probation, DUI programs, or treatment requirements.
Who uses an AA / NA attendance log for court, DUI, or probation?
AA / NA attendance logs are commonly used by people who are required to attend support meetings as part of a DUI case, criminal sentence, probation conditions, diversion program, or treatment plan. Courts, probation officers, attorneys, or treatment providers may review the log to confirm that required meetings were actually attended and when they took place.
What information should be included in an AA / NA meeting attendance log?
A helpful AA / NA attendance log usually includes: your name and case information, the name of the supervising court or agency, the total number of meetings required, and a detailed entry for each meeting. Each entry normally lists the meeting date, start and end time, group name, location or online platform, type of meeting (AA, NA, or other), and the printed name and signature or initials of a group representative who can verify your attendance.
How many meetings can I track with this AA / NA attendance sheet?
This AA / NA Meeting Attendance Log (Fillable Form) template provides space to record multiple meetings in a structured format. If you need more space than the included entries, you can print or copy additional pages and continue numbering the meetings (for example, “Meeting 11–20,” “Meeting 21–30,” and so on) until you have documented all required sessions.
Can I use this AA / NA attendance log for online or virtual meetings?
Yes. This log can be used for in-person or online/virtual meetings. For virtual meetings, you can list the online platform instead of a physical address and record the name or service of the online group. If signatures are not possible for online meetings, you may ask the group secretary or facilitator about their preferred method of verification and note that in the “Verification / Notes” section.
Can AI Lawyer help me prepare my AA / NA meeting attendance log?
Yes. AI Lawyer can help you format and organize your AA / NA meeting attendance log by providing a clear, printable structure and suggesting the information to include in each entry. You must still provide accurate meeting dates, times, and verification details yourself, and for questions about court or probation requirements, you should rely on a licensed attorney or supervising authority in your jurisdiction.
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