Forms

Forms

This page provides access to the forms currently available to the public and attorneys through the Administrative Office of the Courts. These forms are from Supreme Court rules, the Administrative Office of the Courts, the Nebraska Supreme Court Committee on Pro Se Litigation and other organizations. 

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Title/Download Numbersort ascending Instructions Language
Worksheet 6 - Imputation of Childcare Tax Credit (DC 6:1(6)) worksheet 6 English
Worksheet 5 - Deviations to Child Support Guidelines (DC 6:1(5)) worksheet 5 English
Worksheet 4 - Number of Children Calculation (DC 6:1(4)) worksheet 4 English
Worksheet 3 - Calculation for Joint Physical Custody (DC 6:1(3)) worksheet 3 English
Worksheet 2 - Split Custody Calculation (DC 6:1(2)) worksheet 2 English
Worksheet 1 - Basic Net Income and Support Calculation (DC 6:1(1)) worksheet 1 English
FORM 10 / FOR APPLICANTS PREVIOUSLY ADMITTED IN NEW YORK NSBC 2:10 English
FORM 9 / UNAUTHORIZED PRACTICE OF LAW NSBC 2:09 English
FORM 8 / DESCRIPTION OF MENTAL HEALTH OR SUBSTANCE ABUSE CONDITION OR IMPAIRMENT NSBC 2:08 English
FORM 7 / AUTHORIZATION TO RELEASE MEDICAL INFORMATION NSBC 2:07 English
FORM 6 / DEBTS: Defaults; Past Due; Revocations NSBC 2:06 English
FORM 5T / RECORD OF MOVING TRAFFIC VIOLATIONS NSBC 2:05T English
FORM 5 / RECORD OF CRIMINAL CASES NSBC 2:05 English
FORM 4 / RECORD OF BANKRUPTCY OR INSOLVENCY NSBC 2:04 English
FORM 3A / RECORD OF ADMINISTRATIVE ACTIONS NSBC 2:03A English
FORM 3 / RECORD OF CIVIL ACTIONS NSBC 2:03 English
FORM 2 / BONDING COMPANIES NSBC 2:02 English
FORM 1 / MILITARY SERVICE NSBC 2:01 English
Nebraska State Bar Commission AFFIDAVIT - MORAL CHARACTER NSBC 1:14 English
Nebraska State Bar Commission OATH OF APPLICANT NSBC 1:13 English
Nebraska State Bar Commission BACKGROUND CHECK WAIVER NSBC 1:12 English
Nebraska State Bar Commission AUTHORIZATION AND RELEASE NSBC 1:11 English
Accommodations Request Form (ADA Test Form) NSBC 1:10 English
Law School Request for Dean's Certification NSBC 1:09 English
Request Certified or Non-certified Copy of Application for Admission NSBC 1:08 English
Nebraska State Bar Commission CRIMINAL CASE AMENDMENT FORM 5 NSBC 1:07 English
Nebraska State Bar Commission EMPLOYMENT AMENDMENT FORM NSBC 1:06 English
Nebraska State Bar Commission GENERAL AMENDMENT FORM NSBC 1:05 English
Nebraska State Bar Commission NAME CHANGE AMENDMENT FORM NSBC 1:04 English
Nebraska State Bar Commission RESIDENTIAL ADDRESS AMENDMENT FORM NSBC 1:03 English
Nebraska State Bar Commission REVISIONS FORM NSBC 1:02 English
Nebraska State Bar Commission TRAFFIC VIOLATION AMENDMENT FORM 5T NSBC 1:01 English
Instructions for Your Record Sealing Hearing JC 15:5 English
Motion to Seal Records (County Court) JC 15:3 Instructions English
Motion to Seal Records (Juvenile Court) JC 15:1 Instructions English
Case Transfer Summary Form JC 14:9 English
Parental Consent - Abortion, Notice of Appeal JC 14:8 English
Parental Consent - Abortion, Petition for Waiver of JC 14:7 English
Waiver of Parental Consent - Abortion, Instructions JC 14:6 English
Guardian Ad Litem Checklist JC 14:5 English
Subpoena (when issued pursuant to Neb. Rev. Stat. § 25-1223(5) at the request of a state agency or a party allowed to proceed in forma pauperis) JC 14:2(1) English
Order Appointing Guardian Ad Litem JC 14:11(9) English
Termination of Parental Rights Finding and Order JC 14:11(8) English
Permanency Hearing Findings and Order JC 14:11(7) English
Review Hearing Findings and Order JC 14:11(6) English
Disposition Findings and Order JC 14:11(5) English
Adjudication Findings and Order JC 14:11(4) English
Pre-trial Findings and Order JC 14:11(3) English
Arraignment JC 14:11(2) English
Caregiver Information Form JC 14:11(11) English
Order for Pre-Hearing Conference JC 14:11(10) English
Protective Custody Findings and Order JC 14:11(1) English
Parental Consent - Abortion, Order and Findings of Fact JC 14:10 English
Finance - Expense Reimbursement Request HR 2:05 English
Answer and Counterclaim for Dissolution of Marriage (No Children) DC 9:1 Instructions English
Instructions for Your Name Change Hearing DC 6:9(a) English
Decree of Name Change DC 6:9(3) Instructions English
Legal Notice for Publication DC 6:9(2) Instructions English
Petition for Name Change - Adult DC 6:9(1) Instructions English
Notice of Hearing and Certificate of Service (Paternity, Custody, Parenting Time, and Child Support) DC 6:8(9) Instructions English
Answer and Counterclaim to Complaint for Paternity, Custody, Parenting Time, and Child Support DC 6:8(8) Instructions English
Praecipe for Summons/Personal Service in Cases for Paternity, Custody, Parenting Time, and Child Support DC 6:8(7) Instructions English
Voluntary Appearance for Paternity, Custody, Parenting Time, and Child Support DC 6:8(6) Instructions English
Voluntary Appearance Letter for Paternity, Custody, Parenting Time, and Child Support DC 6:8(5) Instructions English
Filing a Paternity/Custody Case Without Payment of Fees DC 6:8(4) English
Complaint for Paternity, Custody, Parenting Time, and Child Support DC 6:8(3) Instructions English
Paternity, Custody, Parenting Time and Child Support Worksheet DC 6:8(2) English
Instructions for Your Hearing on the Complaint for Paternity, Custody, Parenting Time, and Child Support. DC 6:8(11) English
Decree of Paternity, Custody, Parenting Time, and Child Support DC 6:8(10) Instructions English
Order to Proceed In Forma Pauperis DC 6:7(2) Instructions English
Affidavit and Application to Proceed In Forma Pauperis (English) DC 6:7(1) Instructions English
Instructions for In Forma Pauperis (Divorce) DC 6:7 English
Instructions for Divorce Hearing - With Children - Service by Publication DC 6:6B English
Instructions for Divorce Hearing - No Children - Service by Publication DC 6:6A English
Decree - With Children - Service by Publication DC 6:6(7) Instructions English
Decree - No Children - Service by Publication DC 6:6(6) Instructions English
Notice of Divorce Proceeding - With Children DC 6:6(5) Instructions English
Notice of Divorce Proceeding - No Children DC 6:6(4) Instructions English
Order for Service by Publication DC 6:6(3) Instructions English
Affidavit in Support of Motion for Service by Publication DC 6:6(2) Instructions English
Motion for Service by Publication DC 6:6(1) Instructions English
Attorney Certificate of Providing Parenting Act Information DC 6:5(9) English
Temporary Child Information Affidavit DC 6:5(8) English
Certificate of Completion of Parenting Education Course (English) DC 6:5(5) Instructions English
Parenting Plan Parent-Created (Sole Legal and Sole Physical Custody with One Parent) DC 6:5(39) Instructions English
Parenting Plan Parent-Created (Joint Legal and Sole Physical Custody) DC 6:5(38) Instructions English
Parenting Plan Parent-Created (Joint Legal and Joint Physical Custody) DC 6:5(37) Instructions English
Filing to Enforce a Child Support or Visitation Order Without Payment of Fees DC 6:5(34) English
Bench Warrant (Visitation) DC 6:5(33) Instructions English
Affidavit and Motion for Bench Warrant and Commitment to Issue (Visitation) DC 6:5(32) Instructions English
Proposed Order (Visitation) DC 6:5(31) Instructions English
Instructions for Your Enforcement Hearing (Contempt Hearing - Visitation) DC 6:5(30) English
Decree of Dissolution of Marriage - With Children (English) DC 6:5(3) Instructions English
Praecipe for Personal Service (Visitation) DC 6:5(29) Instructions English
Order to Show Cause (Visitation) DC 6:5(28) Instructions English
Affidavit and Application for Order to Show Cause (Visitation) DC 6:5(27) Instructions English
Bench Warrant DC 6:5(26) Instructions English
Affidavit and Motion for Bench Warrant and Commitment to Issue (Divorce) DC 6:5(25) Instructions English
Order (Child Support - Contempt) DC 6:5(24) Instructions English
Instructions for Your Enforcement Hearing (Child Support - Contempt) - Instructions DC 6:5(23) English
Praecipe for Personal Service DC 6:5(22) Instructions English
Order to Show Cause (Child Support) DC 6:5(21) Instructions English
Affidavit and Application for Order to Show Cause (Child Support) DC 6:5(20) Instructions English
Financial Affidavit for Child Support (English) DC 6:5(2) Instructions English
Parenting Plan, Absent Parent, Plaintiff's Use DC 6:5(14) Instructions English
Parenting Plan, Absent Parent, Court Use DC 6:5(13) English
Social Security, Gender, and Birth Date(s) DC 6:5(12) Instructions English
Confidential Employment and Health Insurance Information DC 6:5(11) Instructions English
Complaint for Dissolution of Marriage with Children (English) DC 6:5(1) Instructions English
Instructions for Your Divorce Hearing - With Children (English) DC 6:5 English
Decree of Dissolution - No Children DC 6:4(6) Instructions English
Notice of Hearing DC 6:4(5) Instructions English
Praecipe for Summons DC 6:4(4) Instructions English
Voluntary Appearance DC 6:4(3) Instructions English
Complaint for Dissolution of Marriage without Children DC 6:4(1) Instructions English
Instructions for Divorce Hearing - No Children DC 6:4 English
Order Terminating Child Support DC 6:2(2) Instructions English
Waiver of Notice on Termination of Child Support DC 6:2(1) Instructions English
Child Support Termination Application and Affidavit DC 6:2 Instructions English
Power of Attorney for (Health Care) DC 6:13 Instructions English
Power of Attorney (General) DC 6:12 Instructions English
Checklist for Name Change of a Minor Child or Children DC 6:11(a) English
Instructions for Minor Child(ren) Name Change Hearing DC 6:11(6) English
Decree for Name Change of a Minor DC 6:11(5) Instructions English
Notice to Parent of Name Change for a Minor Child DC 6:11(4) Instructions English
Consent for the Name Change of a Minor Child DC 6:11(3) Instructions English
Legal Notice for Publication - Name Change Minor Child DC 6:11(2) Instructions English
Petition for Name Change of a Minor Child or Children DC 6:11(1) Instructions English
Temporary Delegation of Parental Powers DC 6:10(1) Instructions English
Order of Dismissal DC 4:7(1) Instructions English
Motion to Dismiss DC 4:7 Instructions English
Order of Continuing Lien DC 4:2 English
Application of Continuing Lien DC 4:1 English
Bond Assignment DC 3:2 English
Appearance Bond DC 3:1 English
Registration of E-Mail Address for Self Represented Litigant DC 3:01 English
Order for Continuance DC 1:2(2) Instructions English
Verified Motion for Continuance and Notice of Hearing DC 1:2 Instructions English
Domestic Abuse, Protection Order Information DC 19:9 English
Domestic Abuse, Petition and Affidavit to Obtain Domestic Abuse Protection Order DC 19:8 Instructions English
Which Protection Order Flowchart DC 19:53 English
Domestic Abuse, Petition and Affidavit for Renewal of Domestic Abuse Protection Order DC 19:49 Instructions English
Application to Dismiss Petition and Affidavit for Protection Order DC 19:41 English
Sexual Assault, Information Worksheet for Sexual Assault Protection Order DC 19:40 English
Sexual Assault, Request for Modification of Sexual Assault Protection Order DC 19:38 English
Sexual Assault, Protection Order Information - Sexual Assault DC 19:30 English
Harassment, Protection Order Information DC 19:3 English
Sexual Assault, Petition and Affidavit to Obtain Sexual Assault Protection Order DC 19:29 Instructions English
Harassment, Information Worksheet DC 19:28 English
Domestic Abuse, Information Worksheet DC 19:27 English
Harassment, Request for Modification to Harassment Protection Order DC 19:23 English
Harassment, Petition and Affidavit to Obtain Harassment Protection Order DC 19:2 Instructions English
Domestic Abuse, Request for Modification to Domestic Abuse Protection Order (English) DC 19:19 English
Motion to Vacate and Set Aside and to Dismiss (English) DC 19:18 English
Request for Hearing (provided with all Ex parte Orders) DC 19:14 English
Protection Order Praecipe DC 19:1 Instructions English
Answer and Counterclaim for Dissolution of Marriage (Children) DC 10:1 Instructions English
Commission on Judicial Qualifications Complaint or Request form complaint English
Table 1 - Income Shares Formula (DC 6:1(7)) childsup table English
Continuing Education Compliance Form ch6art7app2 English
FAX Cover Sheet ch6art6-faxform English
Report of Guardian Ad Litem (Juvenile) ch6art17app1 English
Victim Information Neb Ct. R. §6-1524 Apendix 5 ch6art15app5 English
Application for Access to JUSTICE Automation System (District Court) ch6art15app4 English
Personal and Financial Information of Parties ch6art15app3 English
Mandate: District Court to County Court ch6art15app2 English
Criminal Homicide Report Form ch6art15app1 English
Request Form for Copy of Digital Audio Record (County Court Only) ch6art14app9 English
Personal and Financial Information for Estates and Trusts ch6art14app8 English
Personal and Financial Information of Parties (General Civil Cases) (CC 16:13) ch6art14app7 English
Waiver/Fine Schedule ch6art14app6 English
Plaintiff's Claim and Notice to Defendant (Small Claims) (CC 4:1) ch6art14app4 English
Certification of Transcript ch6art14app3 English
Certificate of Appeal, County Court (Based on Appendix 2) ch6art14app2 English
Subsequent Guardian Ad Litem Report in a Guardianship, Conservatorship, Protective or Probate Proceeding ch6art14app15 English
Initial Guardian Ad Litem Report in Proceeding Under the Nebraska Probate Code ch6art14app14 English
Victim Information, County Court, Confidential ch6art14app13 English
Guardian Ad Litem Report (County Court) ch6art14app12 English
Personal and Financial Information for Guardianships and Conservatorships ch6art14app11 English
Application for Access to JUSTICE Automation System (County Court) ch6art14app10 English
County Court Appeal to District Court Certificate of Transcript ch6art14app1 English
Nebraska Juror Qualification Form ch6art10appa English
Judicial Financial Interest Statement (Effective January 1, 2011) ch5art3appc English
Report of Cases Under Advisement (Workers' Comp) Ch5Art3AppB_3 English
Report of Cases Under Advisement (District) Ch5Art3AppB_2 English
Report of Cases Under Advisement (County/Juvenile) Ch5Art3AppB_1 English
Case Progression Standards ch5art3appb English
Fees for Nebraska State Bar ch3art1appe English
Nebraska State Bar Commission Emergency Preparedness Plan ch3art1appd English
Policy on Applicants with a Disability ch3art1appc English
Motion for Pro Hac Vice Admission and Oath ch3art1appb English
Character and Fitness Standards ch3art1appa English
In-house counsel registration and/or renewal Application ch3art12app1 English
Certificate of Juvenile Appeal ch2art1app7 English
Certificate of Criminal Appeal ch2art1app6 English
Certificate of Civil Appeal ch2art1app5 English
Summary to Accompany Application for Leave to File Appeal by County Attorney ch2art1app4 English
Motion to Dismiss ch2art1app3 English
Stipulation for extension of Brief ch2art1app2 English
Motion for 30-day Extension of Brief ch2art1app1 English

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