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/Downloadsort ascending Number 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
Worksheet - Divorce with No Children English
Worksheet - Divorce with Children English
Witness and Exhibit List CC 6:18 English
Which Protection Order Flowchart DC 19:53 English
Warrants and Commitments Return CC 6:52 English
Warrantless Arrest Affidavit CC 6:53 English
Waiver/Fine Schedule ch6art14app6 English
Waiver of Parental Consent - Abortion, Instructions JC 14:6 English
Waiver of Notice on Termination of Child Support DC 6:2(1) Instructions English
Waiver of Final Report/Accounting Voluntary Appearance; Receipt and Request for Discharge of a Guardian/Conservator of a Minor who Reaches Age 19 CC 16:2.60 English
Waiver and Plea of Guilty CC 2:1 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
Voluntary Appearance (Vietnamese) DC 6:4(3) Instructions Vietnamese
Voluntary Appearance (Spanish) DC 6:4(3) Instructions Spanish
Voluntary Appearance DC 6:4(3) Instructions English
Vital Statistics Certificate (Bureau of Vital Statistics Worksheet) English
Visitor or Guardian Ad Litem Report When the Public Guardian is Nominated for Appointment CC 16:2.93 English
Victim Information, County Court, Confidential ch6art14app13 English
Victim Information Neb Ct. R. §6-1524 Apendix 5 ch6art15app5 English
Verified Motion for Continuance and Notice of Hearing DC 1:2 Instructions English
Updated Inventory (Spanish) CC 16:2.45 Spanish
Updated Inventory CC 16:2.45 English
Transfer of License Status Request ("Inactive to Active" and "Active to Inactive") ASD 3:06 English
Termination of Parental Rights Finding and Order JC 14:11(8) English
Temporary Order in Replevin and Notice for Hearing CC 3:5 English
Temporary Delegation of Parental Powers (Vietnamese) DC 6:10(1) Instructions Vietnamese
Temporary Delegation of Parental Powers (Spanish) DC 6:10(1) Instructions Spanish
Temporary Delegation of Parental Powers (Arabic) DC 6:10(1) Instructions Arabic
Temporary Delegation of Parental Powers DC 6:10(1) Instructions English
Temporary Child Information Affidavit DC 6:5(8) English
Table 1 - Income Shares Formula (DC 6:1(7)) childsup table English
Supersedeas Bond (Small Claims) CC 9:4 English
Summary to Accompany Application for Leave to File Appeal by County Attorney ch2art1app4 English
Subsequent Guardian Ad Litem Report in a Guardianship, Conservatorship, Protective or Probate Proceeding ch6art14app15 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
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
Stipulation for extension of Brief ch2art1app2 English
Statement of Claim CC 15:2 English
Statement for Payment of Interpreters AD 2:05 English
State Application Form (external file) English
Speaker Request Form for Justices or Judges ASD 3:03 English
Speaker Request Form for Judicial Branch Staff ASD 3:02 English
Social Security, Gender, and Birth Date(s) (Vietnamese) DC 6:5(12) Instructions Vietnamese
Social Security, Gender, and Birth Date(s) (Spanish) DC 6:5(12) Instructions Spanish
Social Security, Gender, and Birth Date(s) DC 6:5(12) Instructions English
Small Claims Certified Mail Instruction and Return CC 4:5 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
Sexual Assault, Petition and Affidavit to Obtain Sexual Assault Protection Order DC 19:29 Instructions English
Sexual Assault, Information Worksheet for Sexual Assault Protection Order DC 19:40 English
Sex Offender Registration Form (Spanish) CC 6:9 Spanish
Sex Offender Registration Form (English) CC 6:9 English
Service Return CC 3:21 English
Satisfaction of Judgment CC 4:8 English
Review Hearing Findings and Order JC 14:11(6) English
Request to Open Adoption Records CC 17:7 English
Request Form for Copy of Digital Audio Record (County Court Only) ch6art14app9 English
Request for Waiver, Exemption, or Extension Applications (external file) English
Request for Waiting List Assignment CC 16:2.97 English
Request for Probation Fee Waiver CC 7:8.2 English
Request for Modification to Harassment Protection Order (Spanish) DC 19:23 Spanish
Request for JUSTICE User ID - External Agency AD 2:06 English
Request for Hearing (provided with all Ex parte Orders) DC 19:14 English
Request for Credit for Teaching Application ASD 3:01 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
Request for Confidential or Restricted Access Record English
Request Certified or Non-certified Copy of Application for Admission NSBC 1:08 English
Request and Notice for Expanded Media Coverage of County Court Initial Proceedings AD 1:07 English
Report of Guardian Ad Litem (Juvenile) ch6art17app1 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
Release of Garnishee CC 3:8F English
Release of Claim CC 15:3 English
Reinstatement of Membership Status Request (From "Suspended to Inactive" and from "Suspended to Active") ASD 3:04 English
Reinstatement of Membership Status Request (From "Resigned to Inactive" and from "Resigned to Active") ASD 3:05 English
Registration of E-Mail Address for Self Represented Litigant CC 3:01 English
Registration of E-Mail Address for Self Represented Litigant DC 3:01 English
Record of Copy Provided Litigant in Forma Pauperis CC 6:7.1 English
Quick Reference for Guardians/Conservators with an Approved Budget (Spanish) CC 16:2.7.3 Spanish
Quick Reference for Guardians/Conservators with an Approved Budget CC 16:2.7.3 English
Quick Reference for Guardians/Conservators (Spanish) CC 16:2.7.1 Spanish
Quick Reference for Guardians/Conservators CC 16:2.7.1 English
Quick Reference for Guardians with No Authority over the Estate of the Ward (Spanish) CC 16:2.7.4 Spanish
Quick Reference for Guardians with No Authority over the Estate of the Ward CC 16:2.7.4 English
Provisional Transfer of Jurisdiction Order CC 16:2.123 English
Protective Custody Findings and Order JC 14:11(1) English
Protection Order Praecipe (Vietnamese) DC 19:1 Vietnamese
Protection Order Praecipe (Spanish) DC 19:1 Spanish
Protection Order Praecipe DC 19:1 Instructions English
Proposed Order (Visitation) DC 6:5(31) Instructions English
Proof of Restricted Account from Depository or Financial Institution (Spanish) CC 16:2.11 Spanish
Proof of Restricted Account from Depository or Financial Institution CC 16:2.11 English
Pre-trial Findings and Order JC 14:11(3) English
Praecipe for Writ of Restitution/Execution CC 3:24 English
Praecipe for Transcript (Small Claims) CC 9:6 English
Praecipe for Summons/Personal Service in Cases for Paternity, Custody, Parenting Time, and Child Support DC 6:8(7) Instructions English
Praecipe for Summons DC 6:4(4) Instructions English
Praecipe for Subpoena CC 4:6 English
Praecipe for Personal Service (Visitation) DC 6:5(29) Instructions English
Praecipe for Personal Service DC 6:5(22) Instructions English
Praecipe for Execution CC 3:9 English
Praecipe for Bill of Exceptions (Small Claims) CC 9:7 English
Power of Attorney for (Health Care) DC 6:13 Instructions English
Power of Attorney (General) DC 6:12 Instructions English
Policy on Applicants with a Disability ch3art1appc English
Plaintiff's Claim and Notice to Defendant (Small Claims) (CC 4:1) ch6art14app4 English
Petition to Set Aside Criminal Conviction CC 6:11 Instructions English
Petition for Name Change of a Minor Child or Children DC 6:11(1) Instructions English
Petition for Name Change - Adult DC 6:9(1) Instructions English
Petition for Instructions and/or Directions CC 16:3.24 English
Personal and Financial Information of Parties for Estates and Trusts (Based on Ch 6 Art 14, App 8) CC 15:4 English
Personal and Financial Information of Parties (General Civil Cases) (CC 16:13) ch6art14app7 English
Personal and Financial Information of Parties ch6art15app3 English
Personal and Financial Information for Guardianships and Conservatorships (Part of Ct. Rules) (Spanish) CC 16:2.23 Spanish
Personal and Financial Information for Guardianships and Conservatorships ch6art14app11 English
Personal and Financial Information for Guardianships and Conservatorships CC 16:2.23 English
Personal and Financial Information for Estates and Trusts ch6art14app8 English
Permanency Hearing Findings and Order JC 14:11(7) English
Paternity, Custody, Parenting Time and Child Support Worksheet DC 6:8(2) 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
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
Parenting Education Approval Packet AD 2:04 English
Parental Consent - Abortion, Petition for Waiver of JC 14:7 English
Parental Consent - Abortion, Order and Findings of Fact JC 14:10 English
Parental Consent - Abortion, Notice of Appeal JC 14:8 English
Packet E (Guardianship with no Authority Over the Estate of the Ward Annual Reporting Forms) (Spanish) CC 16:2.37 Spanish
Packet E (Guardianship with no Authority Over the Estate of the Ward Annual Reporting Forms) CC 16:2.37 English
Packet D (Guardianship and Conservatorship Annual Reporting Forms) (Spanish) CC 16:2.36 Spanish
Packet D (Guardianship and Conservatorship Annual Reporting Forms) CC 16:2.36 English
Packet C (Conservatorship Annual Reporting Forms) (Spanish) CC 16:2.35 Spanish
Packet C (Conservatorship Annual Reporting Forms) CC 16:2.35 English
Packet B (Guardianship with Budget Annual Reporting Forms) (Spanish) CC 16:2.34 Spanish
Packet B (Guardianship with Budget Annual Reporting Forms) CC 16:2.34 English
Packet A (Guardianship Annual Reporting Forms) (Spanish) CC 16:2.33 Spanish
Packet A (Guardianship Annual Reporting Forms) CC 16:2.33 English
Order to Show Cause (Visitation) DC 6:5(28) Instructions English
Order to Show Cause (Child Support) DC 6:5(21) Instructions English
Order to Proceed In Forma Pauperis (Spanish) DC 6:7(2) Spanish
Order to Proceed In Forma Pauperis (Divorce) (Arabic) DC 6:7(2) Instructions Arabic
Order to Proceed In Forma Pauperis DC 6:7(2) Instructions English
Order Terminating Child Support DC 6:2(2) Instructions English
Order Setting Aside a Criminal Conviction CC 6:11(2) Instructions English
Order Permitting Small Claims Appeal In Forma Pauperis CC 9:8 English
Order on Application to Proceed In Forma Pauperis (General) CC 8:1 English
Order of Summons in Garnishment and Interrogatories (Prior to Judgment) CC 3:7 English
Order of Intrastate Transfer and Certificate of Mailing CC 16:2.126 English
Order of Dismissal DC 4:7(1) Instructions English
Order of Continuing Lien CC 3:8M English
Order of Continuing Lien DC 4:2 English
Order of Approval of Waiver (Spanish) CC 16:2.39 Spanish
Order of Approval of Waiver CC 16:2.39 English
Order of Approval of Monthly Budget of Guardian (Spanish) CC 16:2.42 Spanish
Order of Approval of Monthly Budget of Guardian CC 16:2.42 English
Order Modifying Expanded News Media Coverage of Proceedings (fillable) AD 1:04 English
Order Modifying Expanded News Media Coverage of Proceedings AD 1:04 English
Order for Withdrawal of Funds from Restricted Account(s)(fillable) CC 16:2.53 English
Order for Withdrawal of Funds from Restricted Account(s) CC 16:2.53 English
Order for Service by Publication CC 6:6(3) English
Order for Service by Publication DC 6:6(3) Instructions English
Order for Pre-Hearing Conference JC 14:11(10) English
Order for Guardian to Have No Authority Over the Estate of the Ward CC 16:2.114 English
Order for Continuance DC 1:2(2) Instructions English
Order for Approval of Annual Accounting and/or Fees CC 16:2.50 English
Order Denying the Emergency Appointment of the Public Guardian CC 16:2.131 English
Order Denying the Appointment of the Public Guardian CC 16:2.122 English
Order Denying Expanded News Media Coverage (fillable) AD 1:05 English
Order Denying Expanded News Media Coverage AD 1:05 English
Order Appointing Temporary Guardian for a Minor CC 16:2.110 English
Order Appointing Temporary Guardian and Temporary Conservator for a Minor CC 16:2.112 English
Order Appointing Temporary Guardian and Temporary Conservator CC 16:2.111 English
Order Appointing Temporary Guardian CC 16:2.1.9 English
Order Appointing Temporary Conservator for a Minor CC 16:2.1.8 English
Order Appointing Temporary Conservator CC 16:2.1.7 English
Order Appointing Standby Guardian CC 16:2.113 English
Order Appointing Public Guardian as Temporary Guardian and Temporary Conservator CC 16:2.116 English
Order Appointing Public Guardian as Temporary Guardian CC 16:2.118 English
Order Appointing Public Guardian as Temporary Conservator CC 16:2.120 English
Order Appointing Public Guardian as Guardian and Conservator CC 16:2.115 English
Order Appointing Public Guardian as Guardian CC 16:2.117 English
Order Appointing Public Guardian as Conservator CC 16:2.119 English
Order Appointing Guardian for a Minor (Spanish) CC 16:2.1.2 Spanish
Order Appointing Guardian for a Minor CC 16:2.1.2 English
Order Appointing Guardian and Conservator for a Minor (Spanish) CC 16:2.1.6 Spanish
Order Appointing Guardian and Conservator for a Minor CC 16:2.1.6 English
Order Appointing Guardian and Conservator CC 16:2.1.5 Spanish
Order Appointing Guardian and Conservator CC 16:2.1.5 English
Order Appointing Guardian Ad Litem JC 14:11(9) English
Order Appointing Guardian (Spanish) CC 16:2.1.1 Spanish
Order Appointing Guardian CC 16:2.1.1 English

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