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. 

Adobe Reader XI allows for saving filled-in data on a PDF form. Please download the newest version to take advantage of this feature.

PLEASE NOTE: IF YOU HAVE THE MOST RECENT VERSION OF ADOBE READER XI and you are still experiencing difficulty opening or utilize forms, please attempt to open them using an alternate browser (e.g. Internet Explorer or Firefox).

If you are having continued difficulty opening a form, or saving it to your device as a completed PDF fillable form, please contact Forms Coordinator Christina Werner at Christina.werner@nebraska.gov.

Title/Download Number Instructions Languagesort ascending
Certificate of Mailing Application for Withdrawal of Funds CC 16:2.27 English
Acceptance of Appointment of Temporary Guardian and Temporary Conservator for a Minor CC 16:2.226 English
Request for Credit for Teaching Application ASD 3:01 English
Motion to Have No Authority Over the Estate of the Ward CC 16:3.21 English
Statement for Payment of Interpreters AD 2:05 English
Order Appointing Guardian for a Minor CC 16:2.1.2 English
Nebraska State Bar Commission GENERAL AMENDMENT FORM NSBC 1:05 English
Nebraska State Bar Commission OATH OF APPLICANT NSBC 1:13 English
Dismissal (Small Claims Court) CC 4:7 English
Waiver/Fine Schedule ch6art14app6 English
Certificate of Completion of Parenting Education Course (English) DC 6:5(5) Instructions English
Domestic Abuse, Petition and Affidavit to Obtain Domestic Abuse Protection Order DC 19:8 Instructions English
Certificate of Mailing Objection and Notice of Hearing CC 16:2.26 English
Acceptance of Appointment of Temporary Guardian and Temporary Conservator CC 16:2.225 English
Law School Request for Dean's Certification NSBC 1:09 English
Motion to Terminate Guardianship/Conservatorship CC 16:3.20 English
Parenting Education Approval Packet AD 2:04 English
Order Appointing Guardian CC 16:2.1.1 English
Instructions for In Forma Pauperis (Divorce) DC 6:7 English
Nebraska State Bar Commission NAME CHANGE AMENDMENT FORM NSBC 1:04 English
Nebraska State Bar Commission BACKGROUND CHECK WAIVER NSBC 1:12 English
Order Appointing Standby Guardian CC 16:2.113 English
Praecipe for Subpoena CC 4:6 English
Plaintiff's Claim and Notice to Defendant (Small Claims) (CC 4:1) ch6art14app4 English
Decree of Dissolution of Marriage - With Children (English) DC 6:5(3) Instructions English
Certificate of Mailing Annual Reporting Form(s) CC 16:2.24 English
Acceptance of Appointment of Temporary Guardian for a Minor CC 16:2.224 English
Request and Notice for Expanded Media Coverage of County Court Initial Proceedings AD 1:07 English
Motion to Terminate Guardianship/Conservatorship of a Minor CC 16:3.2 English
Notice of Request for Expanded Media Coverage of Proceedings AD 1:01 English
Affidavit for Transfer of Real Property without Probate CC 15:41 English
Nebraska State Bar Commission RESIDENTIAL ADDRESS AMENDMENT FORM NSBC 1:03 English
Nebraska State Bar Commission AUTHORIZATION AND RELEASE NSBC 1:11 English
Order Appointing Temporary Guardian and Temporary Conservator for a Minor CC 16:2.112 English
Small Claims Certified Mail Instruction and Return CC 4:5 English
Certification of Transcript ch6art14app3 English
Personal and Financial Information for Guardianships and Conservatorships CC 16:2.23 English
Acceptance of Appointment of Temporary Guardian CC 16:2.223 English
Order for Pre-Hearing Conference JC 14:11(10) English
Affidavit for Transfer of Personal Property without Probate CC 15:40 English
Nebraska State Bar Commission REVISIONS FORM NSBC 1:02 English
Witness and Exhibit List CC 6:18 English
Order Appointing Temporary Guardian and Temporary Conservator CC 16:2.111 English
Certificate of Appeal, County Court (Based on Appendix 2) ch6art14app2 English
Financial Affidavit for Child Support (English) DC 6:5(2) Instructions English
Harassment, Protection Order Information DC 19:3 English
Application and Affidavit for Intervention on Behalf of the Welfare of the Ward CC 16:2.21 English
Flowchart of Nebraska Public Guardian Emergency Appointment Process CC 16:2.222 English
Order Appointing Guardian Ad Litem JC 14:11(9) English
Certificate of Mailing a Notice of Filing a Petition For The Determination of Inheritance Tax CC 15:5 English
Order to Proceed In Forma Pauperis DC 6:7(2) Instructions English
Nebraska State Bar Commission TRAFFIC VIOLATION AMENDMENT FORM 5T NSBC 1:01 English
Accommodations Request Form (ADA Test Form) NSBC 1:10 English
Order Appointing Temporary Guardian for a Minor CC 16:2.110 English
Notice of Transfer to Civil Docket (Small Claims Court) CC 4:3 English
Application and Affidavit for Intervention on Behalf of the Welfare of the Ward (fillable) CC 16:2.21 English
Flowchart of Nebraska Public Guardian Nomination Process CC 16:2.221 English
Termination of Parental Rights Finding and Order JC 14:11(8) English
GSA (Reimbursement) Rates (external file) English
Notice of Divorce Proceeding - No Children DC 6:6(4) Instructions English
Notice - No Notice to Department of Health and Human Services Required CC 15:5.1 English
Nebraska Conservatorship Flowchart CC 16:2.86 English
Affidavit and Application to Proceed In Forma Pauperis (English) DC 6:7(1) Instructions English
Praecipe for Writ of Restitution/Execution CC 3:24 English
Request for Waiting List Assignment CC 16:2.97 English
Counterclaim or Setoff of Defendant CC 4:2 English
County Court Appeal to District Court Certificate of Transcript ch6art14app1 English
Application for Withdrawal of Funds CC 16:2.19 English
Acceptance of Appointment of Temporary Conservator for a Minor CC 16:2.220 English
Permanency Hearing Findings and Order JC 14:11(7) English
State Application Form (external file) English
Order for Service by Publication DC 6:6(3) Instructions English
Personal and Financial Information of Parties for Estates and Trusts (Based on Ch 6 Art 14, App 8) CC 15:4 English
Nebraska Guardianship Flowchart CC 16:2.85 English
Instructions for Divorce Hearing - With Children - Service by Publication DC 6:6B English
Affidavit in Support of Personal Recognizance Bond (English/Spanish) CC 13:23 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
Visitor or Guardian Ad Litem Report When the Public Guardian is Nominated for Appointment CC 16:2.93 English
Notice of Filing Foreign Judgment CC 3:23 English
Nebraska Juror Qualification Form ch6art10appa English
Notice of Newly Discovered Assets CC 16:2.18 English
Acceptance of Appointment of Temporary Conservator CC 16:2.219 English
Review Hearing Findings and Order JC 14:11(6) English
Request for Waiver, Exemption, or Extension Applications (external file) English
Affidavit in Support of Motion for Service by Publication DC 6:6(2) Instructions English
Release of Claim CC 15:3 English
Motion to Move Ward/Incapacitated Person/Protected Person out of the State of Nebraska CC 16:2.61 English
Instructions for Divorce Hearing - No Children - Service by Publication DC 6:6A 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 Availability of the Court Visitor or Guardian Ad Litem Report CC 16:2.92 English
Certified Mail Proof of Service CC 3:22 English
Continuing Education Compliance Form ch6art7app2 English
Complaint for Dissolution of Marriage with Children (English) DC 6:5(1) Instructions English
Harassment, Petition and Affidavit to Obtain Harassment Protection Order DC 19:2 Instructions English
Objection CC 16:2.17 English
Acceptance of Appointment of Conservator by the Public Guardian- All Funds Restricted CC 16:2.218 English
Disposition Findings and Order JC 14:11(5) English
Nebraska Adoption Medical History (Birth Mother) English
Motion for Service by Publication DC 6:6(1) Instructions English
Statement of Claim CC 15:2 English
Final Accounting Packet Complete CC 16:2.54 English
Decree - With Children - Service by Publication DC 6:6(7) Instructions English
Notice of Rights of an In Custody Defendant (English/Spanish) CC 13:22 English
Which Protection Order Flowchart DC 19:53 English
Notice of Nomination of the Public Guardian and Certificate of Mailing CC 16:2.89 English
Service Return CC 3:21 English
FAX Cover Sheet ch6art6-faxform English
Instructions for Your Divorce Hearing - With Children (English) DC 6:5 English
Notice of Right to Object (Fillable) CC 16:2.16 English
Acceptance of Appointment of Conservator for a Minor - Restricted CC 16:2.217 English
Adjudication Findings and Order JC 14:11(4) English
Authorization to Conduct Criminal Background Check and Investigation (Interpreters) AD 2:07 English
Parenting Plan Parent-Created (Sole Legal and Sole Physical Custody with One Parent) DC 6:5(39) Instructions English
Demand for Notice CC 15:1 English
Order for Withdrawal of Funds from Restricted Account(s) CC 16:2.53 English
Decree - No Children - Service by Publication DC 6:6(6) Instructions English
Coin Deposit Document CC 13:26 English
Objection to Court Visitor or Guardian Ad Litem Report CC 16:2.88 English
Motion and Affidavit for Default Judgment CC 3:19 English
Judicial Financial Interest Statement (Effective January 1, 2011) ch5art3appc English
Pre-trial Findings and Order JC 14:11(3) English
Worksheet - Divorce with No Children English
Parenting Plan Parent-Created (Joint Legal and Sole Physical Custody) DC 6:5(38) Instructions English
Assignment of Bond CC 13:2 English
Order for Withdrawal of Funds from Restricted Account(s)(fillable) CC 16:2.53 English
Notice of Divorce Proceeding - With Children DC 6:6(5) Instructions English
Notice of Right to Post Bond (English/Spanish) CC 13:21 English
Domestic Abuse, Petition and Affidavit for Renewal of Domestic Abuse Protection Order DC 19:49 Instructions English
Nebraska Guardianship and Conservatorship Flowchart CC 16:2.87 English
Instructions for Divorce Hearing - No Children DC 6:4 English
Answer and General Denial with Certificate of Service CC 3:18 English
Case Progression Standards ch5art3appb English
Protection Order Praecipe DC 19:1 Instructions English
Notice of Right to Object CC 16:2.16 English
Acceptance of Appointment of Guardianship and Conservatorship by the Public Guardian CC 16:2.216 English
Arraignment JC 14:11(2) English
Worksheet - Divorce with Children English
Parenting Plan Parent-Created (Joint Legal and Joint Physical Custody) DC 6:5(37) Instructions English
Notice of Payment of Estimated Cost of Bill of Exceptions and Order to Resume Typing CC 9:92 English
Order for Approval of Annual Accounting and/or Fees CC 16:2.50 English
Instructions for Your Record Sealing Hearing JC 15:5 English
Application to Dismiss Petition and Affidavit for Protection Order DC 19:41 English
Decree of Dissolution - No Children DC 6:4(6) Instructions English
Fence Dispute Complaint Certified Mail Instruction and Return CC 3:14 English
Commission on Judicial Qualifications Complaint or Request form complaint English
Answer and Counterclaim for Dissolution of Marriage (Children) DC 10:1 Instructions English
Annual Report of Guardian on Condition of Ward/Incapacitated Person CC 16:2.14 English
Acceptance of Appointment of Conservator for a Minor - All funds Restricted CC 16:2.215 English
Protective Custody Findings and Order JC 14:11(1) English
Request for Confidential or Restricted Access Record English
Filing to Enforce a Child Support or Visitation Order Without Payment of Fees DC 6:5(34) English
Notice of Failure to Pay Estimated Cost of Bill of Exceptions and Order to Cease Typing CC 9:91 English
Certificate of Mailing CC 16:2.49 English
Motion to Seal Records (County Court) JC 15:3 Instructions English
Sexual Assault, Information Worksheet for Sexual Assault Protection Order DC 19:40 English
Notice of Hearing DC 6:4(5) Instructions English
Fence Dispute Complaint CC 3:13 English
Table 1 - Income Shares Formula (DC 6:1(7)) childsup table English
Answer and Counterclaim for Dissolution of Marriage (No Children) DC 9:1 Instructions English
Certificate of Proof of Possession CC 16:2.13 English
Acceptance of Appointment of Conservatorship by the Public Guardian CC 16:2.214 English
Bench Warrant (Visitation) DC 6:5(33) Instructions English
Estimate for Transcript of Testimony/Bill of Exceptions CC 9:90 English
Certificate of mailing annual budget reporting forms CC 16:2.48 English
Motion to Seal Records (Juvenile Court) JC 15:1 Instructions English
In-house counsel registration and/or renewal Application ch3art12app1 English
Sexual Assault, Request for Modification of Sexual Assault Protection Order DC 19:38 English
Praecipe for Summons DC 6:4(4) Instructions English
Execution -- Notice of Exemptions CC 3:11 English
Acknowledgement of Financial Institution CC 16:2.6 English
Worksheet 6 - Imputation of Childcare Tax Credit (DC 6:1(6)) worksheet 6 English
Power of Attorney for (Health Care) DC 6:13 Instructions English
Proof of Restricted Account from Depository or Financial Institution CC 16:2.11 English
Acceptance of Appointment of Conservator - Restricted CC 16:2.213 English
Vital Statistics Certificate (Bureau of Vital Statistics Worksheet) English
Affidavit and Motion for Bench Warrant and Commitment to Issue (Visitation) DC 6:5(32) Instructions English
Handgun Certificate Denial Or Revocation Appeal CC 9:9 English
Change of Address for Guardianships and Conservatorships and Certificate of Mailing CC 16:2.46 English
Parental Consent - Abortion, Order and Findings of Fact JC 14:10 English
Fees for Nebraska State Bar ch3art1appe English
Sexual Assault, Protection Order Information - Sexual Assault DC 19:30 English
Voluntary Appearance DC 6:4(3) Instructions English
Praecipe for Execution CC 3:9 English
Acknowledgement of Financial Institution (fillable) CC 16:2.6 English
Worksheet 5 - Deviations to Child Support Guidelines (DC 6:1(5)) worksheet 5 English
Power of Attorney (General) DC 6:12 Instructions English
Notice of Interested Party CC 16:2.10 English
Acceptance of Appointment of Guardian and Conservator for a Minor CC 16:2.212 English
Interpreter Complaint Form AD 2:08 English
Report of Cases Under Advisement (Workers' Comp) Ch5Art3AppB_3 English
Proposed Order (Visitation) DC 6:5(31) Instructions English
Order Permitting Small Claims Appeal In Forma Pauperis CC 9:8 English
Updated Inventory CC 16:2.45 English
Case Transfer Summary Form JC 14:9 English
Nebraska State Bar Commission Emergency Preparedness Plan ch3art1appd English
Sexual Assault, Petition and Affidavit to Obtain Sexual Assault Protection Order DC 19:29 Instructions English
Complaint for Dissolution of Marriage without Children DC 6:4(1) Instructions English
Order of Continuing Lien CC 3:8M English
Address Information for Guardianships/Conservatorships CC 16:2.5 English
Worksheet 4 - Number of Children Calculation (DC 6:1(4)) worksheet 4 English

Pages