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
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
Case Progression Standards ch5art3appb
Report of Cases Under Advisement (Workers' Comp) Ch5Art3AppB_3
Fees for Nebraska State Bar ch3art1appe
Report of Cases Under Advisement (District) Ch5Art3AppB_2
Nebraska State Bar Commission Emergency Preparedness Plan ch3art1appd
Report of Cases Under Advisement (County/Juvenile) Ch5Art3AppB_1
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
Mandate: District Court to County Court ch6art15app2
Judicial Branch Education Standards ch1art5appa
Order to Proceed In Forma Pauperis (Divorce) (Arabic) DC 6:7(2) Instructions Arabic
Instructions for Divorce Hearing - No Children (Arabic) DC 6:4 Arabic
Fence Dispute Complaint Certified Mail Instruction and Return CC 3:14 Arabic
Decree of Dissolution - No Children (Arabic) DC 6:4(6) Instructions Arabic
Fence Dispute Complaint (Arabic) CC 3:13 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
Instructions for In Forma Pauperis (Divorce) (Arabic) DC 6:7 Arabic
Common to all protection types, Dismiss, Motion to Vacate and Set Aside and to Dismiss Protection Order (Arabic) DC 19:18 Arabic
Notice Upon Conviction of a Misdemeanor Crime Involving Domestic Violence (Arabic) CC 6:10 Arabic
Request and Notice for Expanded Media Coverage of County Court Initial Proceedings AD 1:07 English
Jury Trial Request CC 6:13 English
Motion to Terminate Guardianship/Conservatorship of a Minor CC 16:3.2 English
Affidavit for Transfer of Real Property without Probate CC 15:41 English
Praecipe for Summons/Personal Service in Cases for Paternity, Custody, Parenting Time, and Child Support DC 6:8(7) Instructions English
Nebraska State Bar Commission RESIDENTIAL ADDRESS AMENDMENT FORM NSBC 1:03 English
Order Appointing Temporary Guardian and Temporary Conservator for a Minor CC 16:2.112 English
Plaintiff's Claim and Notice to Defendant (Small Claims) (CC 4:1) ch6art14app4 English
Garnishment Type A - Instructions and Interrogatories CC 3:8G 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
Common to all protection types, Dismiss, Motion to Vacate and Set Aside and to Dismiss Protection Order (English) DC 19:18 English
Order for Pre-Hearing Conference JC 14:11(10) English
Petition to Set Aside Criminal Conviction CC 6:11 Instructions English
Acceptance of Appointment of Temporary Conservator by the Public Guardian CC 16:2.229 English
Affidavit for Transfer of Personal Property without Probate CC 15:40 English
Voluntary Appearance for Paternity, Custody, Parenting Time, and Child Support DC 6:8(6) Instructions English
Nebraska State Bar Commission REVISIONS FORM NSBC 1:02 English
Order Appointing Temporary Guardian and Temporary Conservator CC 16:2.111 English
Release of Garnishee CC 3:8F 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 Appointing Guardian Ad Litem JC 14:11(9) English
Order Setting Aside a Criminal Conviction CC 6:11(2) Instructions English
Certificate of Mailing a Notice of Filing a Petition For The Determination of Inheritance Tax CC 15:5 English
Voluntary Appearance Letter for Paternity, Custody, Parenting Time, and Child Support DC 6:8(5) Instructions 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
Order Appointing Temporary Guardian for a Minor CC 16:2.110 English
Notice of Extension CC 3:8E English
Financial Affidavit for Child Support (English) DC 6:5(2) Instructions English
Harassment, Information, 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
Record of Copy Provided Litigant in Forma Pauperis CC 6:7.1 English
Notice - No Notice to Department of Health and Human Services Required CC 15:5.1 English
Complaint for Paternity, Custody, Parenting Time, and Child Support DC 6:8(3) Instructions English
Affidavit and Application to Proceed In Forma Pauperis (English) DC 6:7(1) Instructions English
Request for Waiting List Assignment CC 16:2.97 English
Application for Continuing Lien CC 3:8D 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
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
Paternity, Custody, Parenting Time and Child Support Worksheet DC 6:8(2) 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
Visitor or Guardian Ad Litem Report When the Public Guardian is Nominated for Appointment CC 16:2.93 English
Nebraska Juror Qualification Form ch6art10appa English
Intranet/News Article Submission Form AD 2:15 English
Application to Deliver Nonexempt Funds CC 3:8C(1) 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
Citation in Lieu of Arrest CC 6:6 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
Transfer of License Status Request ("Inactive to Active" and "Active to Inactive") ASD 3:06 English
Instructions for Divorce Hearing - No Children - Service by Publication DC 6:6A English
Notice of Availability of the Court Visitor or Guardian Ad Litem Report CC 16:2.92 English
Military Status Affidavit (Used with attorney license renewal) ASD 3:10 English
Notice to Judgment Debtor CC 3:8B 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
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
Order for Service by Publication CC 6:6(3) English
Statement of Claim CC 15:2 English
Final Accounting Packet Complete CC 16:2.54 English
Reinstatement of Membership Status Request (From "Resigned to Inactive" and from "Resigned to Active") ASD 3:05 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
Notice of Nomination of the Public Guardian and Certificate of Mailing CC 16:2.89 English
FAX Cover Sheet ch6art6-faxform English
Harassment, Worksheet, Information Worksheet DC 19:28 English
Garnishments, Employers Instructions CC 3:8A English
Instructions for Your Divorce Hearing - With Children (English) DC 6:5 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
Affidavit in Support of Service by Publication CC 6:6(2) English
Motion for Service by Publication DC 6:6(1) Instructions English
Demand for Notice CC 15:1 English
Order for Withdrawal of Funds from Restricted Account(s) CC 16:2.53 English
Reinstatement of Membership Status Request (From "Suspended to Inactive" and from "Suspended to Active") ASD 3:04 English
Decree - No Children - Service by Publication DC 6:6(6) Instructions English
Objection to Court Visitor or Guardian Ad Litem Report CC 16:2.88 English
Application for Resignation of Membership in the Nebraska State Bar Association ASD 3:09 English
Order of Summons in Garnishment and Interrogatories (Prior to Judgment) CC 3:7 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
Motion for Service by Publication CC 6:6(1) English
Parenting Plan Parent-Created (Sole Legal and Sole Physical Custody with One Parent) DC 6:5(39) Instructions English
Guide to Mediation of Fence Disputes CC 3:25 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
Nebraska Guardianship and Conservatorship Flowchart CC 16:2.87 English
Instructions for Divorce Hearing - No Children DC 6:4 English
Grievance Form - Counsel for Discipline AD 2:14 English
Temporary Order in Replevin and Notice for Hearing CC 3:5 English
Common to all protection types, Praecipe, 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
Pre-trial Findings and Order JC 14:11(3) English
Worksheet - Divorce with No Children English
Subpoena (If issued pursuant to Neb. Rev. Stat. § 25-1223(6)) CC 6:2 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 - No Children DC 6:6(4) Instructions English
Instructions for Your Record Sealing Hearing JC 15:5 English
Nebraska Conservatorship Flowchart CC 16:2.86 English
Decree of Dissolution - No Children DC 6:4(6) Instructions English
Commission on Judicial Qualifications Complaint or Request form complaint English
Nebraska State Bar Commission AFFIDAVIT - MORAL CHARACTER NSBC 1:14 English
Registration of E-Mail Address for Self Represented Litigant CC 3:01 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
Arraignment JC 14:11(2) English
Worksheet - Divorce with Children English
Financial Affidavit CC 6:1 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
GSA (Reimbursement) Rates (external file) English
Motion to Seal Records (County Court) JC 15:3 Instructions English
Notice of Hearing DC 6:4(5) Instructions English
Table 1 - Income Shares Formula (DC 6:1(7)) childsup table English
Nebraska State Bar Commission OATH OF APPLICANT NSBC 1:13 English
Waiver and Plea of Guilty CC 2:1 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
Protective Custody Findings and Order JC 14:11(1) English
Request for Confidential or Restricted Access Record English
Motion to Set Aside Default Judgment and Application for New Trial CC 4:9 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 (Juvenile Court) JC 15:1 Instructions English
Praecipe for Summons DC 6:4(4) Instructions English
Worksheet 6 - Imputation of Childcare Tax Credit (DC 6:1(6)) worksheet 6 English
Nebraska State Bar Commission BACKGROUND CHECK WAIVER NSBC 1:12 English
Statement for Payment of Interpreters AD 2:05 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
Satisfaction of Judgment CC 4:8 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
Voluntary Appearance DC 6:4(3) Instructions 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
Nebraska State Bar Commission AUTHORIZATION AND RELEASE NSBC 1:11 English
Parenting Education Approval Packet AD 2:04 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

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