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 descending Instructions Language
Dismissal (Small Claims Court) CC 4:7 English
Satisfaction of Judgment CC 4:8 English
Motion to Set Aside Default Judgment and Application for New Trial CC 4:9 English
Financial Affidavit CC 6:1 English
Petition to Set Aside Criminal Conviction CC 6:11 Instructions English
Order Setting Aside a Criminal Conviction CC 6:11(2) Instructions English
Jury Trial Request CC 6:13 English
Witness and Exhibit List CC 6:18 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
Warrants and Commitments Return CC 6:52 English
Warrantless Arrest Affidavit CC 6:53 English
Citation in Lieu of Arrest CC 6:6 English
Motion for Service by Publication CC 6:6(1) English
Affidavit in Support of Service by Publication CC 6:6(2) English
Order for Service by Publication CC 6:6(3) English
Record of Copy Provided Litigant in Forma Pauperis CC 6:7.1 English
Sex Offender Registration Form (English) CC 6:9 English
Request for Court Appointed Lawyer, Statement of Financial Status, and Authorization for Release of Information in Custodial Sanction Cases CC 7:7.4 English
Notification of Interstate Compact Probation End and Fee Reduction CC 7:8 English
Request for Probation Fee Waiver CC 7:8.2 English
Order on Application to Proceed In Forma Pauperis (General) CC 8:1 English
Appeal Recognizance CC 9:1 English
Notice of Appeal (small claims) CC 9:2 English
Appeal Bond (Small Claims) CC 9:3 English
Supersedeas Bond (Small Claims) CC 9:4 English
Praecipe for Transcript (Small Claims) CC 9:6 English
Praecipe for Bill of Exceptions (Small Claims) CC 9:7 English
Order Permitting Small Claims Appeal In Forma Pauperis CC 9:8 English
Handgun Certificate Denial Or Revocation Appeal CC 9:9 English
Estimate for Transcript of Testimony/Bill of Exceptions CC 9:90 English
Notice of Failure to Pay Estimated Cost of Bill of Exceptions and Order to Cease Typing CC 9:91 English
Notice of Payment of Estimated Cost of Bill of Exceptions and Order to Resume Typing CC 9:92 English
Judicial Branch Education Standards ch1art5appa English
Motion for 30-day Extension of Brief ch2art1app1 English
Stipulation for extension of Brief ch2art1app2 English
Motion to Dismiss ch2art1app3 English
Summary to Accompany Application for Leave to File Appeal by County Attorney ch2art1app4 English
Certificate of Civil Appeal ch2art1app5 English
Certificate of Criminal Appeal ch2art1app6 English
Certificate of Juvenile Appeal ch2art1app7 English
In-house counsel registration and/or renewal Application ch3art12app1 English
Character and Fitness Standards ch3art1appa English
Motion for Pro Hac Vice Admission and Oath ch3art1appb English
Policy on Applicants with a Disability ch3art1appc English
Nebraska State Bar Commission Emergency Preparedness Plan ch3art1appd English
Fees for Nebraska State Bar ch3art1appe English
Case Progression Standards ch5art3appb English
Report of Cases Under Advisement (County/Juvenile) Ch5Art3AppB_1 English
Report of Cases Under Advisement (District) Ch5Art3AppB_2 English
Report of Cases Under Advisement (Workers' Comp) Ch5Art3AppB_3 English
Judicial Financial Interest Statement (Effective January 1, 2011) ch5art3appc English
Nebraska Juror Qualification Form ch6art10appa English
County Court Appeal to District Court Certificate of Transcript ch6art14app1 English
Application for Access to JUSTICE Automation System (County Court) ch6art14app10 English
Personal and Financial Information for Guardianships and Conservatorships ch6art14app11 English
Guardian Ad Litem Report (County Court) ch6art14app12 English
Victim Information, County Court, Confidential ch6art14app13 English
Initial Guardian Ad Litem Report in Proceeding Under the Nebraska Probate Code ch6art14app14 English
Subsequent Guardian Ad Litem Report in a Guardianship, Conservatorship, Protective or Probate Proceeding ch6art14app15 English
Certificate of Appeal, County Court (Based on Appendix 2) ch6art14app2 English
Certification of Transcript ch6art14app3 English
Plaintiff's Claim and Notice to Defendant (Small Claims) (CC 4:1) ch6art14app4 English
Waiver/Fine Schedule ch6art14app6 English
Personal and Financial Information of Parties (General Civil Cases) (CC 16:13) ch6art14app7 English
Personal and Financial Information for Estates and Trusts ch6art14app8 English
Request Form for Copy of Digital Audio Record (County Court Only) ch6art14app9 English
Criminal Homicide Report Form ch6art15app1 English
Mandate: District Court to County Court ch6art15app2 English
Personal and Financial Information of Parties ch6art15app3 English
Application for Access to JUSTICE Automation System (District Court) ch6art15app4 English
Victim Information Neb Ct. R. §6-1524 Apendix 5 ch6art15app5 English
Report of Guardian Ad Litem (Juvenile) ch6art17app1 English
FAX Cover Sheet ch6art6-faxform English
Continuing Education Compliance Form ch6art7app2 English
Table 1 - Income Shares Formula (DC 6:1(7)) childsup table English
Commission on Judicial Qualifications Complaint or Request form complaint English
Answer and Counterclaim for Dissolution of Marriage (Children) DC 10:1 Instructions English
Protection Order Praecipe DC 19:1 Instructions English
Request for Hearing (provided with all Ex parte Orders) DC 19:14 English
Motion to Vacate and Set Aside and to Dismiss (English) DC 19:18 English
Domestic Abuse, Request for Modification to Domestic Abuse Protection Order (English) DC 19:19 English
Harassment, Petition and Affidavit to Obtain Harassment Protection Order DC 19:2 Instructions English
Harassment, Request for Modification to Harassment Protection Order DC 19:23 English
Domestic Abuse, Information Worksheet DC 19:27 English
Harassment, Information Worksheet DC 19:28 English
Sexual Assault, Petition and Affidavit to Obtain Sexual Assault Protection Order DC 19:29 Instructions English
Harassment, Protection Order Information DC 19:3 English
Sexual Assault, Protection Order Information - Sexual Assault DC 19:30 English
Sexual Assault, Request for Modification of Sexual Assault Protection Order DC 19:38 English
Sexual Assault, Information Worksheet for Sexual Assault Protection Order DC 19:40 English
Application to Dismiss Petition and Affidavit for Protection Order DC 19:41 English
Domestic Abuse, Petition and Affidavit for Renewal of Domestic Abuse Protection Order DC 19:49 Instructions English
Which Protection Order Flowchart DC 19:53 English
Domestic Abuse, Petition and Affidavit to Obtain Domestic Abuse Protection Order DC 19:8 Instructions English
Domestic Abuse, Protection Order Information DC 19:9 English
Verified Motion for Continuance and Notice of Hearing DC 1:2 Instructions English
Order for Continuance DC 1:2(2) Instructions English
Registration of E-Mail Address for Self Represented Litigant DC 3:01 English
Appearance Bond DC 3:1 English
Bond Assignment DC 3:2 English
Application of Continuing Lien DC 4:1 English
Order of Continuing Lien DC 4:2 English
Motion to Dismiss DC 4:7 Instructions English
Order of Dismissal DC 4:7(1) Instructions English
Temporary Delegation of Parental Powers DC 6:10(1) Instructions English
Petition for Name Change of a Minor Child or Children DC 6:11(1) Instructions English
Legal Notice for Publication - Name Change Minor Child DC 6:11(2) Instructions English
Consent for the Name Change of a Minor Child DC 6:11(3) Instructions English
Notice to Parent of Name Change for a Minor Child DC 6:11(4) Instructions English
Decree for Name Change of a Minor DC 6:11(5) Instructions English
Instructions for Minor Child(ren) Name Change Hearing DC 6:11(6) English
Checklist for Name Change of a Minor Child or Children DC 6:11(a) English
Power of Attorney (General) DC 6:12 Instructions English
Power of Attorney for (Health Care) DC 6:13 Instructions English
Child Support Termination Application and Affidavit DC 6:2 Instructions English
Waiver of Notice on Termination of Child Support DC 6:2(1) Instructions English
Order Terminating Child Support DC 6:2(2) Instructions English
Instructions for Divorce Hearing - No Children DC 6:4 English
Complaint for Dissolution of Marriage without Children DC 6:4(1) Instructions English
Voluntary Appearance DC 6:4(3) Instructions English
Praecipe for Summons DC 6:4(4) Instructions English
Notice of Hearing DC 6:4(5) Instructions English
Decree of Dissolution - No Children DC 6:4(6) Instructions English
Instructions for Your Divorce Hearing - With Children (English) DC 6:5 English
Complaint for Dissolution of Marriage with Children (English) DC 6:5(1) Instructions English
Confidential Employment and Health Insurance Information DC 6:5(11) Instructions English
Social Security, Gender, and Birth Date(s) DC 6:5(12) Instructions English
Parenting Plan, Absent Parent, Court Use DC 6:5(13) English
Parenting Plan, Absent Parent, Plaintiff's Use DC 6:5(14) Instructions English
Financial Affidavit for Child Support (English) DC 6:5(2) Instructions English
Affidavit and Application for Order to Show Cause (Child Support) DC 6:5(20) Instructions English
Order to Show Cause (Child Support) DC 6:5(21) Instructions English
Praecipe for Personal Service DC 6:5(22) Instructions English
Instructions for Your Enforcement Hearing (Child Support - Contempt) - Instructions DC 6:5(23) English
Order (Child Support - Contempt) DC 6:5(24) Instructions English
Affidavit and Motion for Bench Warrant and Commitment to Issue (Divorce) DC 6:5(25) Instructions English
Bench Warrant DC 6:5(26) Instructions English
Affidavit and Application for Order to Show Cause (Visitation) DC 6:5(27) Instructions English
Order to Show Cause (Visitation) DC 6:5(28) Instructions English
Praecipe for Personal Service (Visitation) DC 6:5(29) Instructions English
Decree of Dissolution of Marriage - With Children (English) DC 6:5(3) Instructions English
Instructions for Your Enforcement Hearing (Contempt Hearing - Visitation) DC 6:5(30) English
Proposed Order (Visitation) DC 6:5(31) Instructions English
Affidavit and Motion for Bench Warrant and Commitment to Issue (Visitation) DC 6:5(32) Instructions English
Bench Warrant (Visitation) DC 6:5(33) Instructions English
Filing to Enforce a Child Support or Visitation Order Without Payment of Fees DC 6:5(34) English
Parenting Plan Parent-Created (Joint Legal and Joint Physical Custody) DC 6:5(37) Instructions English
Parenting Plan Parent-Created (Joint Legal and Sole Physical Custody) DC 6:5(38) Instructions English
Parenting Plan Parent-Created (Sole Legal and Sole Physical Custody with One Parent) DC 6:5(39) Instructions English
Certificate of Completion of Parenting Education Course (English) DC 6:5(5) Instructions English
Temporary Child Information Affidavit DC 6:5(8) English
Attorney Certificate of Providing Parenting Act Information DC 6:5(9) English
Motion for Service by Publication DC 6:6(1) Instructions English
Affidavit in Support of Motion for Service by Publication DC 6:6(2) Instructions English
Order for Service by Publication DC 6:6(3) Instructions English
Notice of Divorce Proceeding - No Children DC 6:6(4) Instructions English
Notice of Divorce Proceeding - With Children DC 6:6(5) Instructions English
Decree - No Children - Service by Publication DC 6:6(6) Instructions English
Decree - With Children - Service by Publication DC 6:6(7) Instructions English
Instructions for Divorce Hearing - No Children - Service by Publication DC 6:6A English
Instructions for Divorce Hearing - With Children - Service by Publication DC 6:6B English
Instructions for In Forma Pauperis (Divorce) DC 6:7 English
Affidavit and Application to Proceed In Forma Pauperis (English) DC 6:7(1) Instructions English
Order to Proceed In Forma Pauperis DC 6:7(2) Instructions English
Decree of Paternity, Custody, Parenting Time, and Child Support DC 6:8(10) Instructions English
Instructions for Your Hearing on the Complaint for Paternity, Custody, Parenting Time, and Child Support. DC 6:8(11) English
Paternity, Custody, Parenting Time and Child Support Worksheet DC 6:8(2) English
Complaint for Paternity, Custody, Parenting Time, and Child Support DC 6:8(3) Instructions English
Filing a Paternity/Custody Case Without Payment of Fees DC 6:8(4) English
Voluntary Appearance Letter for Paternity, Custody, Parenting Time, and Child Support DC 6:8(5) Instructions English
Voluntary Appearance for Paternity, Custody, Parenting Time, and Child Support DC 6:8(6) Instructions English
Praecipe for Summons/Personal Service in Cases for Paternity, Custody, Parenting Time, and Child Support DC 6:8(7) Instructions English
Answer and Counterclaim to Complaint for Paternity, Custody, Parenting Time, and Child Support DC 6:8(8) Instructions English
Notice of Hearing and Certificate of Service (Paternity, Custody, Parenting Time, and Child Support) DC 6:8(9) Instructions English
Petition for Name Change - Adult DC 6:9(1) Instructions English
Legal Notice for Publication DC 6:9(2) Instructions English
Decree of Name Change DC 6:9(3) Instructions English
Instructions for Your Name Change Hearing DC 6:9(a) English
Answer and Counterclaim for Dissolution of Marriage (No Children) DC 9:1 Instructions English
Finance - Expense Reimbursement Request HR 2:05 English
Parental Consent - Abortion, Order and Findings of Fact JC 14:10 English
Protective Custody Findings and Order JC 14:11(1) English
Order for Pre-Hearing Conference JC 14:11(10) English
Caregiver Information Form JC 14:11(11) English
Arraignment JC 14:11(2) English
Pre-trial Findings and Order JC 14:11(3) English
Adjudication Findings and Order JC 14:11(4) English
Disposition Findings and Order JC 14:11(5) English
Review Hearing Findings and Order JC 14:11(6) English
Permanency Hearing Findings and Order JC 14:11(7) English
Termination of Parental Rights Finding and Order JC 14:11(8) English
Order Appointing Guardian Ad Litem JC 14:11(9) 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
Guardian Ad Litem Checklist JC 14:5 English
Waiver of Parental Consent - Abortion, Instructions JC 14:6 English
Parental Consent - Abortion, Petition for Waiver of JC 14:7 English
Parental Consent - Abortion, Notice of Appeal JC 14:8 English
Case Transfer Summary Form JC 14:9 English
Motion to Seal Records (Juvenile Court) JC 15:1 Instructions English
Motion to Seal Records (County Court) JC 15:3 Instructions English

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