Master Forms List

Master Forms List

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 Revised
Judicial Branch Education Standards ch1art5appa Nov 2017
Certification of Transcript ch6art14app3 Jan 1996
Certificate of Appeal, County Court (Based on Appendix 2) ch6art14app2 Aug 2017
County Court Appeal to District Court Certificate of Transcript ch6art14app1 Sep 2015
Continuing Education Compliance Form ch6art7app2 Jul 2012
Judicial Financial Interest Statement (Effective January 1, 2011) ch5art3appc Dec 2016
Reports of Cases Under Advisement ch5art3appb Jan 2018
Report of Cases Under Advisement (Workers' Comp) Ch5Art3AppB_3 Mar 2017
Report of Cases Under Advisement (District) Ch5Art3AppB_2 Sep 1997
Report of Cases Under Advisement (County/Juvenile) Ch5Art3AppB_1 Sep 1997
Fees for Nebraska State Bar ch3art1appe Mar 2015
Nebraska State Bar Commission Emergency Preparedness Plan ch3art1appd Mar 2017
Policy on Applicants with a Disability ch3art1appc Jul 2013
Mandate: District Court to County Court ch6art15app2 Jan 2015
Character and Fitness Standards ch3art1appa Jul 2013
Certificate of Juvenile Appeal ch2art1app7 Aug 2017
Certificate of Criminal Appeal ch2art1app6 Aug 2017
Certificate of Civil Appeal ch2art1app5 Mar 2017
Instructions for Divorce Hearing - No Children (Arabic) DC 6:4 Arabic Jan 2008
Decree of Dissolution - No Children (Arabic) DC 6:4(6) Instructions Arabic Jan 2008
Notice Upon Conviction of a Misdemeanor Crime Involving Domestic Violence (Arabic) CC 6:10 Arabic Jul 2008
Complaint for Dissolution of Marriage without Children (Arabic) DC 6:4(1) Instructions Arabic Jan 2008
Temporary Delegation of Parental Powers (Arabic) DC 6:10(1) Instructions Arabic
Fence Dispute Complaint Certified Mail Instruction and Return CC 3:14 Arabic Jan 2018
Common to all protection types, Dismiss, Motion to Vacate and Set Aside and to Dismiss Protection Order (Arabic) DC 19:18 Arabic Jul 2006
Fence Dispute Complaint (Arabic) CC 3:13 Arabic Jul 2007
Instructions for In Forma Pauperis (Divorce) (Arabic) DC 6:7 Arabic Jan 2008
Order to Proceed In Forma Pauperis (Divorce) (Arabic) DC 6:7(2) Instructions Arabic Jan 2008
Answer and Counterclaim for Dissolution of Marriage (Children) DC 10:1 Instructions English Oct 2017
Notice of Interested Party CC 16:2.10 English Jan 2015
Stipulation for extension of Brief ch2art1app2 English Sep 2014
Registration of E-Mail Address for Self Represented Litigant DC 3:01 English Feb 2015
Motion for the Disposition of Seized Property CC 6:16 English Feb 2018
Dismissal (Small Claims Court) CC 4:7 English Feb 2015
Waiver of Parental Consent - Abortion, Instructions JC 14:6 English Aug 2011
Address, Change of Address for Guardianships and Conservatorships and Certificate of Mailing CC 16:2.46 English Dec 2016
Request Form for Copy of Digital Audio Record (County Court Only) ch6art14app9 English May 2013
Notice of Divorce Proceeding - No Children DC 6:6(4) Instructions English Jan 2008
Statement of Claim CC 15:2 English Apr 2018
FORM 9 / UNAUTHORIZED PRACTICE OF LAW NSBC 2:09 English Nov 2015
Intrastate Transfer, Acknowledging Receipt of Transferred Case and Certificate of Mailing CC 16:2.127 English May 2016
Answer and Counterclaim to Complaint for Paternity, Custody, Parenting Time, and Child Support DC 6:8(8) Instructions English Aug 2017
Parenting Education Approval Packet AD 2:04 English Nov 2015
Motion for 30-day Extension of Brief ch2art1app1 English Dec 2016
Order for Continuance DC 1:2(2) Instructions English Dec 2015
Motion and Affidavit for the Issuance of an Order in Aid of Execution (Debtor's Exam) CC 3:26 English Feb 2018
Praecipe for Subpoena CC 4:6 English Oct 2016
Updated Inventory CC 16:2.45 English Sep 2016
Personal and Financial Information for Estates and Trusts ch6art14app8 English Jan 2015
Bar Application Checklist NSBC 1:16 English May 2018
Order for Service by Publication DC 6:6(3) Instructions English Jan 2008
Demand for Notice CC 15:1 English Feb 2018
FORM 8 / DESCRIPTION OF MENTAL HEALTH OR SUBSTANCE ABUSE CONDITION OR IMPAIRMENT NSBC 2:08 English Sep 2013
Intrastate Transfer, Order and Certificate of Mailing CC 16:2.126 English Oct 2015
Voluntary Appearance Letter DC 6:8(5) Instructions English Oct 2018
Notice of Request for Expanded Media Coverage of Proceedings AD 1:01 English Nov 2015
Answer and Counterclaim for Dissolution of Marriage (No Children) DC 9:1 Instructions English Oct 2017
Inventory, Affidavit of Due Diligence and Certificate of Mailing CC 16:2.9 English Dec 2016
Motion for Continuance and Notice of Hearing DC 1:2 Instructions English Dec 2015
Notice of Small Claims Proceeding (Service by Publication) CC 6:6(4) English Feb 2018
Complaint for Dissolution of Marriage with Children (English) DC 6:5(1) Instructions English Feb 2015
Small Claims Certified Mail Instruction and Return CC 4:5 English Jan 2018
Guardian Ad Litem Checklist JC 14:5 English Jun 2015
Annual Accounting CC 16:2.44 English Feb 2015
Personal and Financial Information of Parties (General Civil Cases) (CC 16:13) ch6art14app7 English Jul 2010
Instructions for Your Modification of Custody or Parenting Plan Hearing (Script) DC 6:15(9) English Oct 2018
Affidavit in Support of Motion for Service by Publication DC 6:6(2) Instructions English May 2015
Assignment of Bond CC 13:2 English Jun 2017
FORM 7 / AUTHORIZATION TO RELEASE MEDICAL INFORMATION NSBC 2:07 English Sep 2013
Intrastate Transfer, Denial and Certificate of Mailing CC 16:2.125 English Oct 2015
Complaint for Paternity, Custody, Parenting Time, and Child Support DC 6:8(3) Instructions English Aug 2017
Power of Attorney for (Health Care) DC 6:13 Instructions English Mar 2016
Quick Reference, Guardians with No Authority over the Estate of the Ward CC 16:2.7.4 English Mar 2016
Affidavit of Lost Check CC 23:11 English Jan 2016
Certificate of Completion of Limited Representation (submitted by attorney) ASD 3:12 English Oct 2018
Instructions for Your Divorce Hearing - With Children (English) DC 6:5 English Jun 2018
Notice of Transfer to Civil Docket (Small Claims Court) CC 4:3 English May 2016
Finance - Expense Reimbursement Request HR 2:05 English Jan 2018
Annual Accounting (fillable) CC 16:2.44 English Feb 2015
Waiver/Fine Schedule ch6art14app6 English Jan 2018
Order for Modification of Custody or Parenting Plan DC 6:15(8) Instructions English Oct 2018
Motion for Service by Publication DC 6:6(1) Instructions English May 2015
Notice of Payment of Estimated Cost of Bill of Exceptions and Order to Resume Typing CC 9:92 English Jun 2015
FORM 6 / DEBTS: Defaults; Past Due; Revocations NSBC 2:06 English Sep 2013
Intrastate Transfer, Acceptance CC 16:2.124 English Oct 2015
Paternity, Custody, Parenting Time and Child Support Worksheet DC 6:8(2) English Aug 2017
Power of Attorney (General) DC 6:12 Instructions English Mar 2016
Quick Reference, Guardians/Conservators with an Approved Budget CC 16:2.7.3 English Nov 2016
Social Security, Gender, and Birth Date(s) DC 6:5(12) Instructions English Dec 2008
Notice of Limited Appearance (submitted by attorney) ASD 3:11 English Oct 2018
Counterclaim or Setoff of Defendant CC 4:2 English Feb 2015
Finance/Court Reporter - Statement for Payment of Substitute Reporting Services HR 2:03 English Jan 2018
Order of Approval of Monthly Budget of Guardian CC 16:2.42 English May 2016
Plaintiff's Claim and Notice to Defendant (Small Claims) (CC 4:1) ch6art14app4 English Aug 2018
Answer and Counterclaim for Modification Case DC 6:15(6) Instructions English Oct 2018
Parenting Plan Parent-Created (Sole Legal and Sole Physical Custody with One Parent) DC 6:5(39) Instructions English Feb 2015
Notice of Failure to Pay Estimated Cost of Bill of Exceptions and Order to Cease Typing CC 9:91 English Jun 2015
FORM 5T / RECORD OF MOVING TRAFFIC VIOLATIONS NSBC 2:05T English Sep 2013
Intrastate Transfer, Order for Provisional Transfer CC 16:2.123 English Oct 2015
Transfer of License Status Request ("Inactive to Active" and "Active to Inactive") ASD 3:06 English Jan 2018
Checklist for Name Change of a Minor Child or Children DC 6:11(a) English Jul 2009
Quick Reference, Guardians/Conservators CC 16:2.7.1 English Nov 2016
Authorization to Withdraw Will CC 15:6 English Mar 2017
Request to Open Adoption Records CC 17:7 English Mar 2015
Affidavit and Application for Preparation of Real Estate Assignment Certificate DC 6:4(7) English Jan 2018
Notice of Filing Foreign Judgment CC 3:23 English Jan 2016
Objection of Party to Expanded News Media Coverage of Proceeding AD 1:02 English Jan 2017
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 Dec 2016
Complaint for the Modification of Custody or Parenting Plan DC 6:15(3) Instructions English Oct 2018
Parenting Plan Parent-Created (Joint Legal and Sole Physical Custody) DC 6:5(38) Instructions English Feb 2015
Estimate for Transcript of Testimony/Bill of Exceptions CC 9:90 English May 2016
FORM 5 / RECORD OF CRIMINAL CASES NSBC 2:05 English Sep 2013
Public Guardian, Order Denying the Appointment of the Public Guardian CC 16:2.122 English Nov 2015
Reinstatement of Membership Status Request (From "Suspended to Inactive" and from "Suspended to Active") ASD 3:04 English Jan 2018
Instructions for Minor Child(ren) Name Change Hearing DC 6:11(6) English Jul 2009
Financial Institution, Acknowledgement of Financial Institution CC 16:2.6 English Jan 2011
Garnishment Affidavit and Praecipe for Summons CC 3:6 English Jul 2015
Petition for Insructions and/or Directions CC 16:3.24 English Jul 2016
Certified Mail Proof of Service CC 3:22 English Feb 2015
Order of Approval of Waiver CC 16:2.39 English Apr 2016
Worksheet for Modification of Custody or Parenting Plan DC 6:15(2) English Oct 2018
Parenting Plan Parent-Created (Joint Legal and Joint Physical Custody) DC 6:5(37) Instructions English Oct 2017
Handgun Certificate Denial Or Revocation Appeal CC 9:9 English Feb 2015
FORM 4 / RECORD OF BANKRUPTCY OR INSOLVENCY NSBC 2:04 English Sep 2013
Order Appointing Court Visitor or Guardian Ad Litem CC 16:2.121 English Nov 2015
Guide to Mediation of Fence Disputes CC 3:25 English Jun 2017
Decree for Name Change of a Minor DC 6:11(5) Instructions English Jul 2009
Financial Institution, Acknowledgement of Financial Institution (fillable) CC 16:2.6 English Nov 2011
Speaker Request Form for Justices or Judges ASD 3:03 English Nov 2017
Intrastate Transfer, Motion CC 16:3.23 English Oct 2015
Intranet/News Article Submission Form AD 2:15 English Jan 2018
Application for Waiver and Certificate of Mailing CC 16:2.38 English Dec 2016
Filing a Modification Case without Payment of Fees (In Forma Pauperis) DC 6:14(6) English Oct 2018
Filing to Enforce a Child Support or Visitation Order Without Payment of Fees DC 6:5(34) English Oct 2018
Order Permitting Small Claims Appeal In Forma Pauperis CC 9:8 English Jan 2009
FORM 3A / RECORD OF ADMINISTRATIVE ACTIONS NSBC 2:03A English Sep 2013
Order Appointing, Public Guardian, Temporary Conservator CC 16:2.120 English Nov 2015
GSA (Reimbursement) Rates (external file) English Apr 2017
Notice to Parent of Name Change for a Minor Child DC 6:11(4) Instructions English May 2015
Address, Address Information for Guardianships/Conservatorships CC 16:2.5 English May 2016
Speaker Request Form for Judicial Branch Staff ASD 3:02 English Nov 2017
Motion to Have No Authority Over the Estate of the Ward CC 16:3.21 English Mar 2016
Military Status Affidavit (Used with attorney license renewal) ASD 3:10 English Dec 2017
Service Return CC 3:21 English Apr 2018
Packet E (Guardianship with no Authority Over the Estate of the Ward Annual Reporting Forms) CC 16:2.37 English Jan 2018
Nebraska Juror Qualification Form ch6art10appa English Mar 2017
Confidential Address Information DC 3:03 English Sep 2018
Bench Warrant (Visitation) DC 6:5(33) Instructions English Oct 2013
Praecipe for Bill of Exceptions (Small Claims) CC 9:7 English Jan 2015
FORM 3 / RECORD OF CIVIL ACTIONS NSBC 2:03 English Sep 2013
Order Appointing, Public Guardian, Conservator CC 16:2.119 English Oct 2015
State Application Form (external file) English Apr 2017
Consent for the Name Change of a Minor Child DC 6:11(3) Instructions English May 2015
General Information for Guardian/Conservator CC 16:2.4 English Jan 2015
Request for Credit for Teaching Application ASD 3:01 English Mar 2017
Terminate, Adult, Motion to Terminate Guardianship/Conservatorship CC 16:3.20 English Apr 2016
Harassment, Worksheet, Information Worksheet DC 19:28 English Jan 2018
Motion and Affidavit for Default Judgment CC 3:19 English May 2015
Packet D (Guardianship and Conservatorship Annual Reporting Forms) CC 16:2.36 English Jan 2018
Family Member Visitation, Answer to Petition and Affidavit for Order Compelling Visitation with Adult Resident CC 15:31 English Sep 2018
Affidavit and Motion for Bench Warrant and Commitment to Issue (Visitation) DC 6:5(32) Instructions English Apr 2015
Praecipe for Transcript (Small Claims) CC 9:6 English Jan 2015
FORM 2 / BONDING COMPANIES NSBC 2:02 English Sep 2013
Order Appointing, Public Guardian, Temporary Guardian CC 16:2.118 English Nov 2015
Request for Waiver, Exemption, or Extension Applications (external file) English Apr 2017
Legal Notice for Publication - Name Change Minor Child DC 6:11(2) Instructions English Jun 2018
Acceptance of Appointment, Minor, Guardian No Authority over the Estate of the Ward CC 16:2.2.9 English Sep 2015
Law School Request for Dean's Certification NSBC 1:09 English Feb 2017
Terminate, Minor, Motion to Terminate Guardianship/Conservatorship CC 16:3.2 English Apr 2016
Application for Resignation of Membership in the Nebraska State Bar Association ASD 3:09 English Sep 2018
Answer and General Denial with Certificate of Service CC 3:18 English Oct 2016
FAX Cover Sheet ch6art6-faxform English Mar 2018
Family Member Visitation,Motion to Dismiss Petition and Affidavit for Order Compelling Visitation CC 15:29 English Sep 2018
Proposed Order (Visitation) DC 6:5(31) Instructions English Oct 2013
Supersedeas Bond CC 9:4 English Dec 2018
FORM 1 / MILITARY SERVICE NSBC 2:01 English Sep 2013
Order Appointing, Public Guardian, Guardian CC 16:2.117 English Oct 2015
Nebraska Adoption Medical History (Birth Mother) English Jul 2011
Petition for Name Change of a Minor Child or Children DC 6:11(1) Instructions English May 2015
Acceptance of Appointment, Adult, Guardian - No Authority over the Estate of the Ward CC 16:2.2.8 English Mar 2016
Request and Notice for Expanded Media Coverage of County Court Initial Proceedings AD 1:07 English Feb 2017
Acceptance of Appointment, Public Guardian, Temporary Conservator CC 16:2.229 English Nov 2015
Grievance Form - Counsel for Discipline AD 2:14 English Apr 2018
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 Jun 2015
Fence Dispute Complaint Certified Mail Instruction and Return CC 3:14 English Jan 2018
Packet C (Conservatorship Annual Reporting Forms) CC 16:2.35 English Jan 2018
Family Member Visitation, Certificate of Mailing Petition and Order for Hearing CC 15:24 English Sep 2018
Instructions for Your Enforcement Hearing (Contempt Hearing - Visitation) DC 6:5(30) English Jun 2018
Appeal Bond (Small Claims) CC 9:3 English Mar 2015
Request Certified or Non-certified Copy of Application for Admission NSBC 1:08 English Nov 2016
Order Appointing, Public Guardian, Temporary Guardian and Temporary Conservator CC 16:2.116 English Nov 2015
Authorization to Conduct Criminal Background Check and Investigation (Interpreters) AD 2:07 English Apr 2014
Acceptance of Appointment, Adult, Conservator - All Funds Restricted CC 16:2.2.6 English Mar 2016
Order for Pre-Hearing Conference JC 14:11(10) English May 2009
Acceptance of Appointment, Public Guardian, Temporary Guardian CC 16:2.228 English Nov 2015
Nebraska State Bar Commission AFFIDAVIT - MORAL CHARACTER NSBC 1:14 English Oct 2017
Sex Offender Registration Form (English) CC 6:9 English Apr 2017
Fence Dispute Complaint CC 3:13 English Feb 2015
Harassment, Request for Modification to Harassment Protection Order DC 19:23 English Nov 2017
Packet B (Guardianship with Budget Annual Reporting Forms) CC 16:2.34 English Jan 2018

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