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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
Judicial Branch Education Standards ch1art5appa
Certification of Transcript ch6art14app3
Certificate of Appeal, County Court (Based on Appendix 2) ch6art14app2
County Court Appeal to District Court Certificate of Transcript ch6art14app1
Continuing Education Compliance Form ch6art7app2
Judicial Financial Interest Statement (Effective January 1, 2011) ch5art3appc
Reports of Cases Under Advisement ch5art3appb
Report of Cases Under Advisement (Workers' Comp) Ch5Art3AppB_3
Report of Cases Under Advisement (District) Ch5Art3AppB_2
Report of Cases Under Advisement (County/Juvenile) Ch5Art3AppB_1
Fees for Nebraska State Bar ch3art1appe
Nebraska State Bar Commission Emergency Preparedness Plan ch3art1appd
Mandate: District Court to County Court ch6art15app2
Policy on Applicants with a Disability ch3art1appc
Character and Fitness Standards ch3art1appa
Certificate of Juvenile Appeal ch2art1app7
Certificate of Criminal Appeal ch2art1app6
Certificate of Civil Appeal ch2art1app5
Instructions for Divorce Hearing - No Children (Arabic) DC 6:4 Arabic
Decree of Dissolution - No Children (Arabic) DC 6:4(6) Instructions Arabic
Notice Upon Conviction of a Misdemeanor Crime Involving Domestic Violence (Arabic) CC 6:10 Arabic
Complaint for Dissolution of Marriage without Children (Arabic) DC 6:4(1) Instructions Arabic
Temporary Delegation of Parental Powers (Arabic) DC 6:10(1) Instructions Arabic
Fence Dispute Complaint Certified Mail Instruction and Return CC 3:14 Arabic
Common to all protection types, Dismiss, Motion to Vacate and Set Aside and to Dismiss Protection Order (Arabic) DC 19:18 Arabic
Fence Dispute Complaint (Arabic) CC 3:13 Arabic
Instructions for In Forma Pauperis (Divorce) (Arabic) DC 6:7 Arabic
Order to Proceed In Forma Pauperis (Divorce) (Arabic) DC 6:7(2) Instructions Arabic
Notice of Divorce Proceeding - With Children DC 6:6(5) Instructions English
Release of Claim CC 15:3 English
FORM 10 / FOR APPLICANTS PREVIOUSLY ADMITTED IN NEW YORK NSBC 2:10 English
Public Guardian, Notice of Emergency Nomination and Certificate of Mailing CC 16:2.128 English
Voluntary Appearance for Paternity, Custody, Parenting Time, and Child Support DC 6:8(6) Instructions English
Parenting Education Approval Packet AD 2:04 English
Common to all protection types, Praecipe, Protection Order Praecipe DC 19:1 Instructions English
Financial Institution, Proof of Restricted Account from Depository or Financial Institution CC 16:2.11 English
Motion to Dismiss ch2art1app3 English
Appearance Bond DC 3:1 English
Certificate of Completion of Limited Representation (submitted by attorney) ASD 3:12 English
Financial Affidavit for Child Support (English) DC 6:5(2) Instructions English
Dismissal (Small Claims Court) CC 4:7 English
Parental Consent - Abortion, Petition for Waiver of JC 14:7 English
Certificate of Mailing, Annual Budget Reporting Forms CC 16:2.48 English
Application for Access to Confidential Information in JUSTICE Automation System (County Court) ch6art14app10 English
Notice of Divorce Proceeding - No Children DC 6:6(4) Instructions English
Statement of Claim CC 15:2 English
FORM 9 / UNAUTHORIZED PRACTICE OF LAW NSBC 2:09 English
Intrastate Transfer, Acknowledging Receipt of Transferred Case and Certificate of Mailing CC 16:2.127 English
Voluntary Appearance Letter for Paternity, Custody, Parenting Time, and Child Support DC 6:8(5) Instructions English
Notice of Request for Expanded Media Coverage of Proceedings AD 1:01 English
Answer and Counterclaim for Dissolution of Marriage (Children) DC 10:1 Instructions English
Notice of Interested Party CC 16:2.10 English
Stipulation for extension of Brief ch2art1app2 English
Registration of E-Mail Address for Self Represented Litigant DC 3:01 English
Notice of Limited Appearance (submitted by attorney) ASD 3:11 English
Praecipe for Subpoena CC 4:6 English
Waiver of Parental Consent - Abortion, Instructions JC 14:6 English
Address, Change of Address for Guardianships and Conservatorships and Certificate of Mailing CC 16:2.46 English
Request Form for Copy of Digital Audio Record (County Court Only) ch6art14app9 English
Demand for Notice CC 15:1 English
FORM 8 / DESCRIPTION OF MENTAL HEALTH OR SUBSTANCE ABUSE CONDITION OR IMPAIRMENT NSBC 2:08 English
Intrastate Transfer, Order and Certificate of Mailing CC 16:2.126 English
Complaint for Paternity, Custody, Parenting Time, and Child Support DC 6:8(3) Instructions English
Answer and Counterclaim for Dissolution of Marriage (No Children) DC 9:1 Instructions English
Inventory, Affidavit of Due Diligence and Certificate of Mailing CC 16:2.9 English
Motion for 30-day Extension of Brief ch2art1app1 English
Order for Continuance DC 1:2(2) Instructions English
Affidavit and Application for Preparation of Real Estate Assignment Certificate DC 6:4(7) English
Small Claims Certified Mail Instruction and Return CC 4:5 English
Updated Inventory CC 16:2.45 English
Personal and Financial Information for Estates and Trusts ch6art14app8 English
Order for Service by Publication DC 6:6(3) Instructions English
FORM 7 / AUTHORIZATION TO RELEASE MEDICAL INFORMATION NSBC 2:07 English
Intrastate Transfer, Denial and Certificate of Mailing CC 16:2.125 English
Paternity, Custody, Parenting Time and Child Support Worksheet DC 6:8(2) English
Power of Attorney for (Health Care) DC 6:13 Instructions English
Quick Reference, Guardians with No Authority over the Estate of the Ward CC 16:2.7.4 English
Motion for Continuance and Notice of Hearing DC 1:2 Instructions English
Intranet/News Article Submission Form AD 2:15 English
Complaint for Dissolution of Marriage with Children (English) DC 6:5(1) Instructions English
Notice of Transfer to Civil Docket (Small Claims Court) CC 4:3 English
Guardian Ad Litem Checklist JC 14:5 English
Annual Accounting CC 16:2.44 English
Personal and Financial Information of Parties (General Civil Cases) (CC 16:13) ch6art14app7 English
Affidavit in Support of Motion for Service by Publication DC 6:6(2) Instructions English
Assignment of Bond CC 13:2 English
FORM 6 / DEBTS: Defaults; Past Due; Revocations NSBC 2:06 English
Intrastate Transfer, Acceptance CC 16:2.124 English
Transfer of License Status Request ("Inactive to Active" and "Active to Inactive") ASD 3:06 English
Power of Attorney (General) DC 6:12 Instructions English
Quick Reference, Guardians/Conservators with an Approved Budget CC 16:2.7.3 English
Social Security, Gender, and Birth Date(s) DC 6:5(12) Instructions English
Affidavit of Lost Check CC 23:11 English
Military Status Affidavit (Used with attorney license renewal) ASD 3:10 English
Instructions for Your Divorce Hearing - With Children (English) DC 6:5 English
Counterclaim or Setoff of Defendant CC 4:2 English
Finance - Expense Reimbursement Request HR 2:05 English
Annual Accounting (fillable) CC 16:2.44 English
Waiver/Fine Schedule ch6art14app6 English
Motion for Service by Publication DC 6:6(1) Instructions English
Notice of Payment of Estimated Cost of Bill of Exceptions and Order to Resume Typing CC 9:92 English
Reinstatement of Membership Status Request (From "Resigned to Inactive" and from "Resigned to Active") ASD 3:05 English
Checklist for Name Change of a Minor Child or Children DC 6:11(a) English
Quick Reference, Guardians/Conservators CC 16:2.7.1 English
Authorization to Withdraw Will CC 15:6 English
Request to Open Adoption Records CC 17:7 English
Harassment, Worksheet, Information Worksheet DC 19:28 English
Notice of Filing Foreign Judgment CC 3:23 English
Finance/Court Reporter - Statement for Payment of Substitute Reporting Services HR 2:03 English
Order of Approval of Monthly Budget of Guardian CC 16:2.42 English
Plaintiff's Claim and Notice to Defendant (Small Claims) (CC 4:1) ch6art14app4 English
Parenting Plan Parent-Created (Sole Legal and Sole Physical Custody with One Parent) DC 6:5(39) Instructions English
Notice of Failure to Pay Estimated Cost of Bill of Exceptions and Order to Cease Typing CC 9:91 English
FORM 5T / RECORD OF MOVING TRAFFIC VIOLATIONS NSBC 2:05T English
Intrastate Transfer, Order for Provisional Transfer CC 16:2.123 English
Reinstatement of Membership Status Request (From "Suspended to Inactive" and from "Suspended to Active") ASD 3:04 English
Instructions for Minor Child(ren) Name Change Hearing DC 6:11(6) English
Financial Institution, Acknowledgement of Financial Institution CC 16:2.6 English
Garnishment Affidavit and Praecipe for Summons CC 3:6 English
Petition for Insructions and/or Directions CC 16:3.24 English
Application for Resignation of Membership in the Nebraska State Bar Association ASD 3:09 English
Certified Mail Proof of Service CC 3:22 English
Objection of Party to Expanded News Media Coverage of Proceeding AD 1:02 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
Parenting Plan Parent-Created (Joint Legal and Sole Physical Custody) DC 6:5(38) Instructions English
Estimate for Transcript of Testimony/Bill of Exceptions CC 9:90 English
FORM 5 / RECORD OF CRIMINAL CASES NSBC 2:05 English
Public Guardian, Order Denying the Appointment of the Public Guardian CC 16:2.122 English
Decree for Name Change of a Minor DC 6:11(5) Instructions English
Financial Institution, Acknowledgement of Financial Institution (fillable) CC 16:2.6 English
Speaker Request Form for Justices or Judges ASD 3:03 English
Intrastate Transfer, Motion CC 16:3.23 English
Grievance Form - Counsel for Discipline AD 2:14 English
Service Return CC 3:21 English
Order of Approval of Waiver CC 16:2.39 English
Parenting Plan Parent-Created (Joint Legal and Joint Physical Custody) DC 6:5(37) Instructions English
Handgun Certificate Denial Or Revocation Appeal CC 9:9 English
FORM 4 / RECORD OF BANKRUPTCY OR INSOLVENCY NSBC 2:04 English
Order Appointing Court Visitor or Guardian Ad Litem CC 16:2.121 English
Guide to Mediation of Fence Disputes CC 3:25 English
Notice to Parent of Name Change for a Minor Child DC 6:11(4) Instructions English
Address, Address Information for Guardianships/Conservatorships CC 16:2.5 English
Speaker Request Form for Judicial Branch Staff ASD 3:02 English
Motion to Have No Authority Over the Estate of the Ward CC 16:3.21 English
Nebraska State Bar Commission AFFIDAVIT - MORAL CHARACTER NSBC 1:14 English
Motion and Affidavit for Default Judgment CC 3:19 English
Application for Waiver and Certificate of Mailing CC 16:2.38 English
Filing to Enforce a Child Support or Visitation Order Without Payment of Fees DC 6:5(34) English
Order Permitting Small Claims Appeal In Forma Pauperis CC 9:8 English
FORM 3A / RECORD OF ADMINISTRATIVE ACTIONS NSBC 2:03A English
Order Appointing, Public Guardian, Temporary Conservator CC 16:2.120 English
GSA (Reimbursement) Rates (external file) English
Consent for the Name Change of a Minor Child DC 6:11(3) Instructions English
General Information for Guardian/Conservator CC 16:2.4 English
Request for Credit for Teaching Application ASD 3:01 English
Terminate, Adult, Motion to Terminate Guardianship/Conservatorship CC 16:3.20 English
Nebraska State Bar Commission OATH OF APPLICANT NSBC 1:13 English
Answer and General Denial with Certificate of Service CC 3:18 English
Packet E (Guardianship with no Authority Over the Estate of the Ward Annual Reporting Forms) CC 16:2.37 English
Nebraska Juror Qualification Form ch6art10appa English
Americans with Disabilities Act (ADA)- Accomodation Request Form AD 2:19 English
Bench Warrant (Visitation) DC 6:5(33) Instructions English
Praecipe for Bill of Exceptions (Small Claims) CC 9:7 English
FORM 3 / RECORD OF CIVIL ACTIONS NSBC 2:03 English
Order Appointing, Public Guardian, Conservator CC 16:2.119 English
State Application Form (external file) English
Legal Notice for Publication - Name Change Minor Child DC 6:11(2) Instructions English
Acceptance of Appointment, Minor, Guardian No Authority over the Estate of the Ward CC 16:2.2.9 English
Law School Request for Dean's Certification NSBC 1:09 English
Terminate, Minor, Motion to Terminate Guardianship/Conservatorship CC 16:3.2 English
Nebraska State Bar Commission BACKGROUND CHECK WAIVER NSBC 1:12 English
Fence Dispute Complaint Certified Mail Instruction and Return CC 3:14 English
Packet D (Guardianship and Conservatorship Annual Reporting Forms) CC 16:2.36 English
Americans with Disabilities Act (ADA)- Grievance Form AD 2:18 English
Affidavit and Motion for Bench Warrant and Commitment to Issue (Visitation) DC 6:5(32) Instructions English
Praecipe for Transcript (Small Claims) CC 9:6 English
FORM 2 / BONDING COMPANIES NSBC 2:02 English
Order Appointing, Public Guardian, Temporary Guardian CC 16:2.118 English
Request for Waiver, Exemption, or Extension Applications (external file) English
Request and Notice for Expanded Media Coverage of County Court Initial Proceedings AD 1:07 English
Acceptance of Appointment, Public Guardian, Temporary Conservator CC 16:2.229 English
Nebraska State Bar Commission AUTHORIZATION AND RELEASE NSBC 1:11 English
Terminate, Minor, 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
Fence Dispute Complaint CC 3:13 English
Packet C (Conservatorship Annual Reporting Forms) CC 16:2.35 English
FAX Cover Sheet ch6art6-faxform English
Filing Fees and Court Costs English
Proposed Order (Visitation) DC 6:5(31) Instructions English
Supersedeas Bond (Small Claims) CC 9:4 English
FORM 1 / MILITARY SERVICE NSBC 2:01 English
Order Appointing, Public Guardian, Guardian CC 16:2.117 English
Nebraska Adoption Medical History (Birth Mother) English
Petition for Name Change of a Minor Child or Children DC 6:11(1) Instructions English
Acceptance of Appointment, Adult, Guardian - No Authority over the Estate of the Ward CC 16:2.2.8 English
Order for Pre-Hearing Conference JC 14:11(10) English
Acceptance of Appointment, Public Guardian, Temporary Guardian CC 16:2.228 English
Witness and Exhibit List CC 6:18 English
Sex Offender Registration Form (English) CC 6:9 English
Execution -- Notice of Exemptions CC 3:11 English
Harassment, Request for Modification to Harassment Protection Order DC 19:23 English

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