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/Downloadsort ascending Number Instructions Language Revised
Worksheet for Modification of Custody or Parenting Plan DC 6:15(2) English Oct 2018
Worksheet 6 - Imputation of Childcare Tax Credit (DC 6:1(6)) worksheet 6 English Jan 2016
Worksheet 5 - Deviations to Child Support Guidelines (DC 6:1(5)) worksheet 5 English Sep 2011
Worksheet 4 - Number of Children Calculation (DC 6:1(4)) worksheet 4 English Oct 2007
Worksheet 3 - Calculation for Joint Physical Custody (DC 6:1(3)) worksheet 3 English Jul 2007
Worksheet 2 - Split Custody Calculation (DC 6:1(2)) worksheet 2 English Oct 2007
Worksheet 1 - Basic Net Income and Support Calculation (DC 6:1(1)) worksheet 1 English Jan 2016
Worksheet - Divorce with No Children English Aug 2015
Worksheet - Divorce with Children English Aug 2015
Witness and Exhibit List CC 6:18 English Oct 2017
Warrants and Commitments Return CC 6:52 English Aug 2014
Warrantless Arrest Affidavit CC 6:53 English Aug 2014
Waiver/Fine Schedule ch6art14app6 English Jan 2018
Waiver of Parental Consent - Abortion, Instructions JC 14:6 English Aug 2011
Waiver of Notice on Termination of Child Support DC 6:2(1) Instructions English Apr 2015
Waiver and Plea of Guilty CC 2:1 English May 2017
Voluntary Appearance Letter DC 6:8(5) Instructions English Oct 2018
Voluntary Appearance (Vietnamese) DC 6:4(3) Instructions Vietnamese Jan 2008
Voluntary Appearance (Spanish) DC 6:4(3) Instructions Spanish Jan 2016
Voluntary Appearance DC 6:4(3) Instructions English Oct 2018
Vital Statistics Certificate (Bureau of Vital Statistics Worksheet) English Jun 2006
Visitor or Guardian Ad Litem Report When the Public Guardian is Nominated for Appointment CC 16:2.93 English Jan 2018
Victim Information, County Court, Confidential ch6art14app13 English Sep 2015
Victim Information Neb Ct. R. §6-1524 Apendix 5 ch6art15app5 English Sep 2015
Updated Inventory (Spanish) CC 16:2.45 Spanish Nov 2015
Updated Inventory CC 16:2.45 English Sep 2016
Transfer of License Status Request ("Inactive to Active" and "Active to Inactive") ASD 3:06 English Jan 2018
Termination of Parental Rights Finding and Order JC 14:11(8) English Nov 2007
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
Terminate, Minor, Motion to Terminate Guardianship/Conservatorship CC 16:3.2 English Apr 2016
Terminate, Adult, Motion to Terminate Guardianship/Conservatorship CC 16:3.20 English Apr 2016
Temporary Order in Replevin and Notice for Hearing CC 3:5 English Jul 1983
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 May 2016
Temporary Child Information Affidavit DC 6:5(8) English Apr 2015
TEMPORARILY UNAVAILABLE - Order Appointing Guardian and Conservator for a Minor (Spanish) CC 16:2.1.6 Spanish May 2014
TEMPORARILY UNAVAILABLE - Order Appointing Guardian and Conservator CC 16:2.1.5 Spanish Feb 2014
Table 1 - Income Shares Formula (DC 6:1(7)) childsup table English Feb 2017
Supersedeas Bond (Small Claims) CC 9:4 English Mar 2015
Summary to Accompany Application for Leave to File Appeal by County Attorney ch2art1app4 English Dec 2016
Subsequent Guardian Ad Litem Report in a Guardianship, Conservatorship, Protective or Probate Proceeding ch6art14app15 English Jan 2017
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 Oct 2017
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 Oct 2017
Subpoena (If issued pursuant to Neb. Rev. Stat. § 25-1223(6)) CC 6:2 English Oct 2017
Stipulation for extension of Brief ch2art1app2 English Sep 2014
Stipulated Motion for Bridge Order JC 14:14 English Jun 2018
Statement of Claim CC 15:2 English Apr 2018
Statement for Payment of Interpreters AD 2:05 English Jan 2018
State Application Form (external file) English Apr 2017
Speaker Request Form for Justices or Judges ASD 3:03 English Nov 2017
Speaker Request Form for Judicial Branch Staff ASD 3:02 English Nov 2017
Social Security, Gender, and Birth Date(s) (Vietnamese) DC 6:5(12) Instructions Vietnamese Dec 2008
Social Security, Gender, and Birth Date(s) (Spanish) DC 6:5(12) Instructions Spanish Dec 2008
Social Security, Gender, and Birth Date(s) DC 6:5(12) Instructions English Dec 2008
Small Claims Certified Mail Instruction and Return CC 4:5 English Jan 2018
Sexual Assault, Worksheet, Information Worksheet for Sexual Assault Protection Order DC 19:40 English Jan 2018
Sexual Assault, Request for Modification of Sexual Assault Protection Order DC 19:38 English Aug 2017
Sexual Assault, Petition and Affidavit to Renew Sexual Assault Protection Order DC 19:44 Instructions English Apr 2018
Sexual Assault, Petition and Affidavit to Obtain Sexual Assault Protection Order DC 19:29 Instructions English Aug 2017
Sexual Assault, Packet for Protection Order - Autofill DC 19:72 English May 2018
Sexual Assault, Information, Protection Order Information DC 19:30 English Aug 2017
Sex Offender Registration Form (Spanish) CC 6:9 Spanish Oct 2017
Sex Offender Registration Form (English) CC 6:9 English Apr 2017
Service Return CC 3:21 English Apr 2018
Satisfaction of Judgment CC 4:8 English Feb 2015
Review Hearing Findings and Order JC 14:11(6) English Nov 2007
Request to Open Adoption Records CC 17:7 English Mar 2015
Request Form for Copy of Digital Audio Record (County Court Only) ch6art14app9 English May 2013
Request for Waiver, Exemption, or Extension Applications (external file) English Apr 2017
Request for Probation Fee Waiver CC 7:8.2 English Jun 2016
Request for JUSTICE User ID - External Agency AD 2:06 English Jan 2017
Request for Credit for Teaching Application ASD 3:01 English Mar 2017
Request for Court Appointed Lawyer, Statement of Financial Status, and Authorization for Release of Information in Custodial Sanction Cases CC 7:7.4 English Jan 2016
Request for Confidential or Restricted Access Record English Mar 2017
Request Certified or Non-certified Copy of Application for Admission NSBC 1:08 English Nov 2016
Request and Notice for Expanded Media Coverage of County Court Initial Proceedings AD 1:07 English Feb 2017
Reports of Cases Under Advisement ch5art3appb Jan 2018
Report of Guardian Ad Litem (Juvenile) ch6art17app1 English Jun 2016
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
Release of Garnishee CC 3:8F English May 2015
Release of Claim CC 15:3 English May 2015
Reinstatement of Membership Status Request (From "Suspended to Inactive" and from "Suspended to Active") ASD 3:04 English Jan 2018
Registration of E-Mail Address for Self Represented Litigant CC 3:01 English Feb 2015
Registration of E-Mail Address for Self Represented Litigant DC 3:01 English Feb 2015
Quick Reference, Guardians/Conservators with an Approved Budget (Spanish) CC 16:2.7.3 Spanish Feb 2016
Quick Reference, Guardians/Conservators with an Approved Budget CC 16:2.7.3 English Nov 2016
Quick Reference, Guardians/Conservators (Spanish) CC 16:2.7.1 Spanish Feb 2016
Quick Reference, Guardians/Conservators CC 16:2.7.1 English Nov 2016
Quick Reference, Guardians with No Authority over the Estate of the Ward (Spanish) CC 16:2.7.4 Spanish Apr 2014
Quick Reference, Guardians with No Authority over the Estate of the Ward CC 16:2.7.4 English Mar 2016
Public Guardian, Order Denying the Emergency Appointment of the Public Guardian CC 16:2.131 English Oct 2015
Public Guardian, Order Denying the Appointment of the Public Guardian CC 16:2.122 English Nov 2015
Public Guardian, Notice of Nomination and Certificate of Mailing CC 16:2.89 English Nov 2017
Public Guardian, Notice of Emergency Nomination and Certificate of Mailing CC 16:2.128 English Nov 2017
Protective Custody Findings and Order JC 14:11(1) English Nov 2007
Proposed Order (Visitation) DC 6:5(31) Instructions English Oct 2013
Pre-trial Findings and Order JC 14:11(3) English Nov 2007
Praecipe for Writ of Restitution/Execution CC 3:24 English Sep 2017
Praecipe for Transcript (Small Claims) CC 9:6 English Jan 2015
Praecipe for Summons DC 6:4(4) Instructions English Oct 2018
Praecipe for Subpoena CC 4:6 English Oct 2016
Praecipe for Personal Service (Visitation) DC 6:5(29) Instructions English Apr 2015
Praecipe for Personal Service DC 6:5(22) Instructions English Apr 2015
Praecipe for Execution CC 3:9 English Feb 2015
Praecipe for Bill of Exceptions (Small Claims) CC 9:7 English Jan 2015
Power of Attorney for (Health Care) DC 6:13 Instructions English Mar 2016
Power of Attorney (General) DC 6:12 Instructions English Mar 2016
Policy on Applicants with a Disability ch3art1appc Jul 2013
Plaintiff's Claim and Notice to Defendant (Small Claims) (CC 4:1) ch6art14app4 English Aug 2018
Petition to Set Aside Criminal Conviction CC 6:11 Instructions English Mar 2015
Petition for Name Change of a Minor Child or Children DC 6:11(1) Instructions English May 2015
Petition for Name Change - Adult DC 6:9(1) Instructions English May 2015
Petition for Insructions and/or Directions CC 16:3.24 English Jul 2016
Personal and Financial Information of Parties for Estates and Trusts (Based on Ch 6 Art 14, App 8) CC 15:4 English Aug 2016
Personal and Financial Information of Parties (General Civil Cases) (CC 16:13) ch6art14app7 English Jul 2010
Personal and Financial Information of Parties ch6art15app3 English Sep 2010
Personal and Financial Information for Guardianships and Conservatorships (Spanish) CC 16:2.23 Spanish Nov 2015
Personal and Financial Information for Guardianships and Conservatorships ch6art14app11 English Mar 2017
Personal and Financial Information for Guardianships and Conservatorships CC 16:2.23 English Mar 2016
Personal and Financial Information for Estates and Trusts ch6art14app8 English Jan 2015
Permanency Hearing Findings and Order JC 14:11(7) English Nov 2007
Paternity, Custody, Parenting Time and Child Support Worksheet DC 6:8(2) English Aug 2017
Parenting Plan, Absent Parent, Plaintiff's Use DC 6:5(14) Instructions English Feb 2015
Parenting Plan, Absent Parent, Court Use DC 6:5(13) English Aug 2008
Parenting Plan Parent-Created (Sole Legal and Sole Physical Custody with One Parent) DC 6:5(39) Instructions English Feb 2015
Parenting Plan Parent-Created (Joint Legal and Sole Physical Custody) DC 6:5(38) Instructions English Feb 2015
Parenting Plan Parent-Created (Joint Legal and Joint Physical Custody) DC 6:5(37) Instructions English Oct 2017
Parenting Education Approval Packet AD 2:04 English Nov 2015
Parental Consent - Abortion, Petition for Waiver of JC 14:7 English Jun 2015
Parental Consent - Abortion, Order and Findings of Fact JC 14:10 English Aug 2011
Parental Consent - Abortion, Notice of Appeal JC 14:8 English Jun 2015
Packet E (Guardianship with no Authority Over the Estate of the Ward Annual Reporting Forms) (Spanish) CC 16:2.37 Spanish May 2014
Packet E (Guardianship with no Authority Over the Estate of the Ward Annual Reporting Forms) CC 16:2.37 English Jan 2018
Packet D (Guardianship and Conservatorship Annual Reporting Forms) (Spanish) CC 16:2.36 Spanish May 2014
Packet D (Guardianship and Conservatorship Annual Reporting Forms) CC 16:2.36 English Jan 2018
Packet C (Conservatorship Annual Reporting Forms) (Spanish) CC 16:2.35 Spanish May 2014
Packet C (Conservatorship Annual Reporting Forms) CC 16:2.35 English Jan 2018
Packet B (Guardianship with Budget Annual Reporting Forms) (Spanish) CC 16:2.34 Spanish May 2014
Packet B (Guardianship with Budget Annual Reporting Forms) CC 16:2.34 English Jan 2018
Packet A (Guardianship Annual Reporting Forms) (Spanish) CC 16:2.33 Spanish May 2014
Packet A (Guardianship Annual Reporting Forms) CC 16:2.33 English Jan 2018
Order to Show Cause (Visitation) DC 6:5(28) Instructions English Jun 2018
Order to Show Cause (Child Support) DC 6:5(21) Instructions English Oct 2013
Order to Proceed In Forma Pauperis (Spanish) DC 6:7(2) Spanish Jan 2008
Order to Proceed In Forma Pauperis (Divorce) (Arabic) DC 6:7(2) Instructions Arabic Jan 2008
Order to Proceed In Forma Pauperis DC 6:7(2) Instructions English Aug 2017
Order Terminating Child Support DC 6:2(2) Instructions English Oct 2016
Order Setting Aside a Criminal Conviction CC 6:11(2) Instructions English Nov 2011
Order Permitting Small Claims Appeal In Forma Pauperis CC 9:8 English Jan 2009
Order on Application to Proceed In Forma Pauperis (General) CC 8:1 English Mar 2016
Order of Summons in Garnishment and Interrogatories (Prior to Judgment) CC 3:7 English Jul 1983
Order of Dismissal DC 4:7(1) Instructions English Dec 2011
Order of Continuing Lien CC 3:8M English Feb 2016
Order of Continuing Lien DC 4:2 English Mar 2010
Order of Approval of Waiver (Spanish) CC 16:2.39 Spanish Sep 2013
Order of Approval of Waiver CC 16:2.39 English Apr 2016
Order of Approval of Monthly Budget of Guardian (Spanish) CC 16:2.42 Spanish Nov 2015
Order of Approval of Monthly Budget of Guardian CC 16:2.42 English May 2016
Order Modifying Expanded News Media Coverage of Proceedings (fillable) AD 1:04 English Jan 2017
Order Modifying Expanded News Media Coverage of Proceedings AD 1:04 English Jan 2017
Order for Withdrawal of Funds from Restricted Account(s) (fillable) CC 16:2.53 English Nov 2014
Order for Withdrawal of Funds from Restricted Account(s) CC 16:2.53 English Nov 2014
Order for Service by Publication CC 6:6(3) English Feb 2018
Order for Service by Publication DC 6:6(3) Instructions English Jan 2008
Order for Pre-Hearing Conference JC 14:11(10) English May 2009
Order for Modification of Custody or Parenting Plan DC 6:15(8) Instructions English Oct 2018
Order for Guardian to Have No Authority Over the Estate of the Ward CC 16:2.114 English Oct 2015
Order for Continuance DC 1:2(2) Instructions English Dec 2015
Order for Approval of Annual Accounting and/or Fees CC 16:2.50 English Apr 2016
Order Denying Expanded News Media Coverage (fillable) AD 1:05 English Jan 2017
Order Denying Expanded News Media Coverage AD 1:05 English Jan 2017
Order Appointing, Public Guardian, Temporary Guardian and Temporary Conservator CC 16:2.116 English Nov 2015
Order Appointing, Public Guardian, Temporary Guardian CC 16:2.118 English Nov 2015
Order Appointing, Public Guardian, Temporary Conservator CC 16:2.120 English Nov 2015
Order Appointing, Public Guardian, Guardian and Conservator CC 16:2.115 English Oct 2015
Order Appointing, Public Guardian, Guardian CC 16:2.117 English Oct 2015
Order Appointing, Public Guardian, Conservator CC 16:2.119 English Oct 2015
Order Appointing, Minor, Temporary Guardian and Temporary Conservator CC 16:2.112 English Oct 2015
Order Appointing, Minor, Temporary Guardian CC 16:2.110 English Oct 2015
Order Appointing, Minor, Temporary Conservator CC 16:2.1.8 English Sep 2015
Order Appointing, Minor, Guardian and Conservator CC 16:2.1.6 English Mar 2016
Order Appointing, Minor, Guardian (Spanish) CC 16:2.1.2 Spanish Feb 2014
Order Appointing, Minor, Guardian CC 16:2.1.2 English Jan 2018
Order Appointing, Minor, Conservator (Spanish) CC 16:2.1.4 Spanish Feb 2014
Order Appointing, Minor, Conservator CC 16:2.1.4 English Jan 2018
Order Appointing, Adult, Temporary Guardian and Temporary Conservator CC 16:2.111 English Oct 2015
Order Appointing, Adult, Temporary Guardian CC 16:2.1.9 English Sep 2015
Order Appointing, Adult, Temporary Conservator CC 16:2.1.7 English Sep 2015
Order Appointing, Adult, Standby Guardian CC 16:2.113 English Mar 2016
Order Appointing, Adult, Guardian and Conservator CC 16:2.1.5 English Mar 2016
Order Appointing, Adult, Guardian (Spanish) CC 16:2.1.1 Spanish Feb 2014
Order Appointing, Adult, Guardian CC 16:2.1.1 English Jan 2018
Order Appointing, Adult, Conservator (Spanish) CC 16:2.1.3 Spanish Feb 2014
Order Appointing, Adult, Conservator CC 16:2.1.3 English Jan 2018
Order Appointing Guardian Ad Litem JC 14:11(9) English Nov 2007
Order Appointing Court Visitor or Guardian Ad Litem CC 16:2.121 English Nov 2015

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