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 Number Instructions Languagesort descending
Disposition Findings and Order JC 14:11(5) English
Nebraska Adoption Medical History (Birth Mother) English
Sex Offender Registration Form (English) CC 6:9 English
Record of Copy Provided Litigant in Forma Pauperis CC 6:7.1 English
Motion to Seal Records (County Court) JC 15:3 Instructions English
Worksheet 5 - Deviations to Child Support Guidelines (DC 6:1(5)) worksheet 5 English
Notice of Right to Object (Fillable) CC 16:2.16 English
Harassment, Information Worksheet DC 19:28 English
Order Appointing Guardian CC 16:2.1.1 English
Instructions for Divorce Hearing - With Children - Service by Publication DC 6:6B English
Order Appointing a Guardian Ad Litem in a Proceeding Under the Nebraska Probate Code. CC 15:7 English
Order for Withdrawal of Funds from Restricted Account(s) CC 16:2.53 English
Denial of Intrastate Transfer and Certificate of mailing CC 16:2.125 English
Application to Deliver Nonexempt Funds CC 3:8C(1) English
Adjudication Findings and Order JC 14:11(4) English
Authorization to Conduct Criminal Background Check and Investigation (Interpreters) AD 2:07 English
Instructions for Divorce Hearing - No Children DC 6:4 English
Citation in Lieu of Arrest CC 6:6 English
Motion to Seal Records (Juvenile Court) JC 15:1 Instructions English
Worksheet 4 - Number of Children Calculation (DC 6:1(4)) worksheet 4 English
Notice of Right to Object CC 16:2.16 English
Application for Resignation of Membership in the Nebraska State Bar Association ASD 3:09 English
Affidavit for Transfer of Real Property without Probate CC 15:41 English
Instructions for Divorce Hearing - No Children - Service by Publication DC 6:6A English
Request for JUSTICE User ID - External Agency AD 2:06 English
Order for Withdrawal of Funds from Restricted Account(s)(fillable) CC 16:2.53 English
Acceptance of Intrastate Transfer CC 16:2.124 English
Notice to Judgment Debtor CC 3:8B English
Decree of Dissolution - No Children DC 6:4(6) Instructions English
Order for Service by Publication CC 6:6(3) English
Parental Consent - Abortion, Order and Findings of Fact JC 14:10 English
Worksheet 3 - Calculation for Joint Physical Custody (DC 6:1(3)) worksheet 3 English
Annual Report of Guardian on Condition of Ward/Incapacitated Person CC 16:2.14 English
Grievance Form - Counsel for Discipline AD 2:14 English
Affidavit for Transfer of Personal Property without Probate CC 15:40 English
Decree - With Children - Service by Publication DC 6:6(7) Instructions English
Court Media Credential Badge Application AD 1:06 English
Order for Approval of Annual Accounting and/or Fees CC 16:2.50 English
Provisional Transfer of Jurisdiction Order CC 16:2.123 English
Garnishments, Employers Instructions CC 3:8A English
Worksheet - Divorce with No Children English
Notice of Hearing DC 6:4(5) Instructions English
Affidavit in Support of Service by Publication CC 6:6(2) English
Case Transfer Summary Form JC 14:9 English
Worksheet 2 - Split Custody Calculation (DC 6:1(2)) worksheet 2 English
Certificate of Proof of Possession CC 16:2.13 English
Nebraska State Bar Commission AFFIDAVIT - MORAL CHARACTER NSBC 1:14 English
Certificate of Mailing a Notice of Filing a Petition For The Determination of Inheritance Tax CC 15:5 English
Decree - No Children - Service by Publication DC 6:6(6) Instructions English
Order Denying Expanded News Media Coverage AD 1:05 English
Certificate of Mailing CC 16:2.49 English
Order Denying the Appointment of the Public Guardian CC 16:2.122 English
Order of Summons in Garnishment and Interrogatories (Prior to Judgment) CC 3:7 English
Worksheet - Divorce with Children English
Praecipe for Summons DC 6:4(4) Instructions English
Harassment, Request for Modification to Harassment Protection Order DC 19:23 English
Motion for Service by Publication CC 6:6(1) English
Parental Consent - Abortion, Notice of Appeal JC 14:8 English
Worksheet 1 - Basic Net Income and Support Calculation (DC 6:1(1)) worksheet 1 English
Proof of Restricted Account from Depository or Financial Institution CC 16:2.11 English
Nebraska State Bar Commission OATH OF APPLICANT NSBC 1:13 English
Notice - No Notice to Department of Health and Human Services Required CC 15:5.1 English
Notice of Divorce Proceeding - With Children DC 6:6(5) Instructions English
Order Denying Expanded News Media Coverage (fillable) AD 1:05 English
Certificate of mailing annual budget reporting forms CC 16:2.48 English
Order Appointing Court Visitor or Guardian Ad Litem CC 16:2.121 English
Temporary Order in Replevin and Notice for Hearing CC 3:5 English
Request for Confidential or Restricted Access Record English
Financial Affidavit CC 6:1 English
Parental Consent - Abortion, Petition for Waiver of JC 14:7 English
In-house counsel registration and/or renewal Application ch3art12app1 English
Notice of Interested Party CC 16:2.10 English
Nebraska State Bar Commission BACKGROUND CHECK WAIVER NSBC 1:12 English
Personal and Financial Information of Parties for Estates and Trusts (Based on Ch 6 Art 14, App 8) CC 15:4 English
Notice of Divorce Proceeding - No Children DC 6:6(4) Instructions English
Order Modifying Expanded News Media Coverage of Proceedings AD 1:04 English
Change of Address for Guardianships and Conservatorships and Certificate of Mailing CC 16:2.46 English
Order Appointing Public Guardian as Temporary Conservator CC 16:2.120 English
Registration of E-Mail Address for Self Represented Litigant CC 3:01 English
Vital Statistics Certificate (Bureau of Vital Statistics Worksheet) English
Voluntary Appearance DC 6:4(3) Instructions English
Domestic Abuse, Request for Modification to Domestic Abuse Protection Order (English) DC 19:19 English
Motion to Set Aside Default Judgment and Application for New Trial CC 4:9 English
Waiver of Parental Consent - Abortion, Instructions JC 14:6 English
Fees for Nebraska State Bar ch3art1appe English
Inventory, Affidavit of Due Diligence & Certificate of Mailing CC 16:2.9 English
Nebraska State Bar Commission AUTHORIZATION AND RELEASE NSBC 1:11 English
Release of Claim CC 15:3 English
Order for Service by Publication DC 6:6(3) Instructions English
Order Modifying Expanded News Media Coverage of Proceedings (fillable) AD 1:04 English
Updated Inventory CC 16:2.45 English
Order Appointing Public Guardian as Conservator CC 16:2.119 English
Waiver and Plea of Guilty CC 2:1 English
Report of Cases Under Advisement (Workers' Comp) Ch5Art3AppB_3 English
Complaint for Dissolution of Marriage without Children DC 6:4(1) Instructions English
Motion to Vacate and Set Aside and to Dismiss (English) DC 19:18 English
Satisfaction of Judgment CC 4:8 English
Guardian Ad Litem Checklist JC 14:5 English
Nebraska State Bar Commission Emergency Preparedness Plan ch3art1appd English
Quick Reference for Guardians with No Authority over the Estate of the Ward CC 16:2.7.4 English
Witness and Exhibit List CC 6:18 English
Statement of Claim CC 15:2 English
Affidavit in Support of Motion for Service by Publication DC 6:6(2) Instructions English
Memo to Guardians and Conservators Regarding Amended Neb. Ct. R. §6-1433 CC 16:2.66 English
Annual Accounting CC 16:2.44 English
Order Appointing Public Guardian as Temporary Guardian CC 16:2.118 English
Statement for Payment of Interpreters AD 2:05 English
Report of Cases Under Advisement (District) Ch5Art3AppB_2 English
Order Terminating Child Support DC 6:2(2) Instructions English
Request for Hearing (provided with all Ex parte Orders) DC 19:14 English
Finance - Expense Reimbursement Request HR 2:05 English
Policy on Applicants with a Disability ch3art1appc English
Quick Reference for Guardians/Conservators with an Approved Budget CC 16:2.7.3 English
Accommodations Request Form (ADA Test Form) NSBC 1:10 English
Demand for Notice CC 15:1 English
Motion for Service by Publication DC 6:6(1) Instructions English
FORM 10 / FOR APPLICANTS PREVIOUSLY ADMITTED IN NEW YORK NSBC 2:10 English
Annual Accounting (fillable) CC 16:2.44 English
Order Appointing Public Guardian as Guardian CC 16:2.117 English
Parenting Education Approval Packet AD 2:04 English
Report of Cases Under Advisement (County/Juvenile) Ch5Art3AppB_1 English
Waiver of Notice on Termination of Child Support DC 6:2(1) Instructions English
Domestic Abuse, Protection Order Information DC 19:9 English
Acceptance of Appointment of Temporary Conservator by the Public Guardian CC 16:2.229 English
Dismissal (Small Claims Court) CC 4:7 English
Objection of Party to Expanded News Media Coverage of Proceeding AD 1:02 English
Motion for Pro Hac Vice Admission and Oath ch3art1appb English
Quick Reference for Guardians/Conservators CC 16:2.7.1 English
Praecipe for Writ of Restitution/Execution CC 3:24 English
Assignment of Bond CC 13:2 English
Parenting Plan Parent-Created (Sole Legal and Sole Physical Custody with One Parent) DC 6:5(39) Instructions English
FORM 9 / UNAUTHORIZED PRACTICE OF LAW NSBC 2:09 English
Order of Approval of Monthly Budget of Guardian CC 16:2.42 English
Order Appointing Public Guardian as Temporary Guardian and Temporary Conservator CC 16:2.116 English
Notice of Request for Expanded Media Coverage of Proceedings AD 1:01 English
Caregiver Information Form JC 14:11(11) English
Child Support Termination Application and Affidavit DC 6:2 Instructions English
Domestic Abuse, Petition and Affidavit to Obtain Domestic Abuse Protection Order DC 19:8 Instructions English
Acceptance of Appointment of Temporary Guardian by the Public Guardian CC 16:2.228 English
Praecipe for Subpoena CC 4:6 English
Character and Fitness Standards ch3art1appa 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
Notice of Payment of Estimated Cost of Bill of Exceptions and Order to Resume Typing CC 9:92 English
Parenting Plan Parent-Created (Joint Legal and Sole Physical Custody) DC 6:5(38) Instructions English
FORM 8 / DESCRIPTION OF MENTAL HEALTH OR SUBSTANCE ABUSE CONDITION OR IMPAIRMENT NSBC 2:08 English
Application for Approval of Monthly Budget of Guardian, updated Inventory, Notice of Right to Object When a Hearing Has Been Scheduled, and Certificate of Mailing CC 16:2.41 English
Order Appointing Public Guardian as Guardian and Conservator CC 16:2.115 English
Report of Guardian Ad Litem (Juvenile) ch6art17app1 English
Order of Dismissal DC 4:7(1) Instructions English
Harassment, Protection Order Information DC 19:3 English
Acceptance of Appointment of Temporary Guardian and Temporary Conservator by the Public Guardian CC 16:2.227 English
Small Claims Certified Mail Instruction and Return CC 4:5 English
Subpoena If issued pursuant to Neb. Rev. Stat. § 25-1223(5). At the request of an agency of state government or by a party permitted to proceed in forma pauperis. CC 6:2(1) English
Notice of Failure to Pay Estimated Cost of Bill of Exceptions and Order to Cease Typing CC 9:91 English
Parenting Plan Parent-Created (Joint Legal and Joint Physical Custody) DC 6:5(37) Instructions English
FORM 7 / AUTHORIZATION TO RELEASE MEDICAL INFORMATION NSBC 2:07 English
Order of Approval of Waiver CC 16:2.39 English
Order for Guardian to Have No Authority Over the Estate of the Ward CC 16:2.114 English
Victim Information Neb Ct. R. §6-1524 Apendix 5 ch6art15app5 English
Motion to Dismiss DC 4:7 Instructions English
Harassment, Petition and Affidavit to Obtain Harassment Protection Order DC 19:2 Instructions English
Acceptance of Appointment of Temporary Guardian and Temporary Conservator for a Minor CC 16:2.226 English
Notice of Transfer to Civil Docket (Small Claims Court) CC 4:3 English
Certificate of Juvenile Appeal ch2art1app7 English
Order to Show Cause (Visitation) DC 6:5(28) Instructions English
Which Protection Order Flowchart DC 19:53 English
Estimate for Transcript of Testimony/Bill of Exceptions CC 9:90 English
Filing to Enforce a Child Support or Visitation Order Without Payment of Fees DC 6:5(34) English
FORM 6 / DEBTS: Defaults; Past Due; Revocations NSBC 2:06 English
Application for Waiver and Certificate of Mailing CC 16:2.38 English
Order Appointing Standby Guardian CC 16:2.113 English
Application for Access to JUSTICE Automation System (District Court) ch6art15app4 English
Acknowledgement of Financial Institution CC 16:2.6 English
Order of Continuing Lien DC 4:2 English
Protection Order Praecipe DC 19:1 Instructions English
Acceptance of Appointment of Temporary Guardian and Temporary Conservator CC 16:2.225 English
Counterclaim or Setoff of Defendant CC 4:2 English
Certificate of Criminal Appeal ch2art1app6 English
Sexual Assault, Protection Order Information - Sexual Assault DC 19:30 English
Coin Deposit Document CC 13:26 English
Handgun Certificate Denial Or Revocation Appeal CC 9:9 English
Bench Warrant (Visitation) DC 6:5(33) Instructions English
FORM 5T / RECORD OF MOVING TRAFFIC VIOLATIONS NSBC 2:05T English
Packet E (Guardianship with no Authority Over the Estate of the Ward Annual Reporting Forms) CC 16:2.37 English
Order Appointing Temporary Guardian and Temporary Conservator for a Minor CC 16:2.112 English
Personal and Financial Information of Parties ch6art15app3 English
Acknowledgement of Financial Institution (fillable) CC 16:2.6 English
Application of Continuing Lien DC 4:1 English
Answer and Counterclaim for Dissolution of Marriage (Children) DC 10:1 Instructions English
Acceptance of Appointment of Temporary Guardian for a Minor CC 16:2.224 English
Notice of Filing Foreign Judgment CC 3:23 English
Certificate of Civil Appeal ch2art1app5 English
Sexual Assault, Petition and Affidavit to Obtain Sexual Assault Protection Order DC 19:29 Instructions English
Affidavit and Application for Order to Show Cause (Visitation) DC 6:5(27) Instructions English
Domestic Abuse, Petition and Affidavit for Renewal of Domestic Abuse Protection Order DC 19:49 Instructions English
Order Permitting Small Claims Appeal In Forma Pauperis CC 9:8 English
Affidavit and Motion for Bench Warrant and Commitment to Issue (Visitation) DC 6:5(32) Instructions English
FORM 5 / RECORD OF CRIMINAL CASES NSBC 2:05 English
Packet D (Guardianship and Conservatorship Annual Reporting Forms) CC 16:2.36 English
Order Appointing Temporary Guardian and Temporary Conservator CC 16:2.111 English

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