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
Parenting Plan Parent-Created (Joint Legal and Joint Physical Custody) DC 6:5(37) Instructions English
FORM 7 / AUTHORIZATION TO RELEASE MEDICAL INFORMATION NSBC 2:07 English
Order Appointing Guardian and Conservator for a Minor CC 16:2.1.6 English
Reinstatement of Membership Status Request (From "Resigned to Inactive" and from "Resigned to Active") ASD 3:05 English
Affidavit of Sex Offender Registry Search CC 16:2.30 English
Order of Continuing Lien DC 4:2 English
Common to all protection types, Praecipe, Protection Order Praecipe DC 19:1 Instructions English
Order of Summons in Garnishment and Interrogatories (Prior to Judgment) CC 3:7 English
Worksheet 1 - Basic Net Income and Support Calculation (DC 6:1(1)) worksheet 1 English
Acceptance of Appointment of Conservator - Restricted CC 16:2.213 English
Motion for Service by Publication CC 6:6(1) English
Filing to Enforce a Child Support or Visitation Order Without Payment of Fees DC 6:5(34) English
FORM 6 / DEBTS: Defaults; Past Due; Revocations NSBC 2:06 English
Order Appointing Guardian and Conservator CC 16:2.1.5 English
Reinstatement of Membership Status Request (From "Suspended to Inactive" and from "Suspended to Active") ASD 3:04 English
Application for Approval of Annual Accounting and/or Fees CC 16:2.29 English
Application of Continuing Lien DC 4:1 English
Answer and Counterclaim for Dissolution of Marriage (Children) DC 10:1 Instructions English
Temporary Order in Replevin and Notice for Hearing CC 3:5 English
In-house counsel registration and/or renewal Application ch3art12app1 English
Application for Resignation of Membership in the Nebraska State Bar Association ASD 3:09 English
Affidavit and Application for Order to Show Cause (Visitation) DC 6:5(27) Instructions English
Acceptance of Appointment of Guardian and Conservator for a Minor CC 16:2.212 English
Subpoena (If issued pursuant to Neb. Rev. Stat. § 25-1223(6)) CC 6:2 English
Bench Warrant (Visitation) DC 6:5(33) Instructions English
FORM 5T / RECORD OF MOVING TRAFFIC VIOLATIONS NSBC 2:05T English
Order Appointing Conservator for a Minor CC 16:2.1.4 English
Guide to Mediation of Fence Disputes CC 3:25 English
Certificate of Mailing Application for Approval of Accounting and/or Fees CC 16:2.28 English
Bond Assignment DC 3:2 English
Answer and Counterclaim for Dissolution of Marriage (No Children) DC 9:1 Instructions English
Registration of E-Mail Address for Self Represented Litigant CC 3:01 English
Motion for Pro Hac Vice Admission and Oath ch3art1appb English
Grievance Form - Counsel for Discipline AD 2:14 English
Bench Warrant DC 6:5(26) Instructions English
Acceptance of Appointment of Guardian by the Public Guardian CC 16:2.211 English
Financial Affidavit CC 6:1 English
Affidavit and Motion for Bench Warrant and Commitment to Issue (Visitation) DC 6:5(32) Instructions English
FORM 5 / RECORD OF CRIMINAL CASES NSBC 2:05 English
Order Appointing Conservator CC 16:2.1.3 English
GSA (Reimbursement) Rates (external file) English
Certificate of Mailing Application for Withdrawal of Funds CC 16:2.27 English
Appearance Bond DC 3:1 English
Power of Attorney for (Health Care) DC 6:13 Instructions English
Waiver and Plea of Guilty CC 2:1 English
Summary to Accompany Application for Leave to File Appeal by County Attorney ch2art1app4 English
Nebraska State Bar Commission AFFIDAVIT - MORAL CHARACTER NSBC 1:14 English
Affidavit and Motion for Bench Warrant and Commitment to Issue (Divorce) DC 6:5(25) Instructions English
Notice: Assumption of Guardianship Authority by Standby Guardian and Acceptance CC 16:2.210 English
Motion to Set Aside Default Judgment and Application for New Trial CC 4:9 English
Proposed Order (Visitation) DC 6:5(31) Instructions English
FORM 4 / RECORD OF BANKRUPTCY OR INSOLVENCY NSBC 2:04 English
Order Appointing Guardian for a Minor CC 16:2.1.2 English
State Application Form (external file) English
Certificate of Mailing Objection and Notice of Hearing CC 16:2.26 English
Registration of E-Mail Address for Self Represented Litigant DC 3:01 English
Power of Attorney (General) DC 6:12 Instructions English
Statement for Payment of Interpreters AD 2:05 English
Motion to Dismiss ch2art1app3 English
Nebraska State Bar Commission OATH OF APPLICANT NSBC 1:13 English
Order (Child Support - Contempt) DC 6:5(24) Instructions English
Order Denying the Emergency Appointment of the Public Guardian CC 16:2.131 English
Intranet/News Article Submission Form AD 2:15 English
Satisfaction of Judgment CC 4:8 English
Instructions for Your Enforcement Hearing (Contempt Hearing - Visitation) DC 6:5(30) English
FORM 3A / RECORD OF ADMINISTRATIVE ACTIONS NSBC 2:03A English
Order Appointing Guardian CC 16:2.1.1 English
Order for Continuance DC 1:2(2) Instructions English
Checklist for Name Change of a Minor Child or Children DC 6:11(a) English
Parenting Education Approval Packet AD 2:04 English
Stipulation for extension of Brief ch2art1app2 English
Nebraska State Bar Commission BACKGROUND CHECK WAIVER NSBC 1:12 English
Instructions for Your Enforcement Hearing (Child Support - Contempt) - Instructions DC 6:5(23) English
Notice of Emergency Nomination of the Public Guardian and Certificate of Mailing CC 16:2.128 English
Military Status Affidavit (Used with attorney license renewal) ASD 3:10 English
Dismissal (Small Claims Court) CC 4:7 English
Praecipe for Personal Service (Visitation) DC 6:5(29) Instructions English
FORM 3 / RECORD OF CIVIL ACTIONS NSBC 2:03 English
Affidavit for Transfer of Real Property without Probate CC 15:41 English
Request for Waiver, Exemption, or Extension Applications (external file) English
Certificate of Mailing Annual Reporting Form(s) CC 16:2.24 English
Motion for Continuance and Notice of Hearing DC 1:2 Instructions English
Instructions for Minor Child(ren) Name Change Hearing DC 6:11(6) English
Notice of Request for Expanded Media Coverage of Proceedings AD 1:01 English
Motion for 30-day Extension of Brief ch2art1app1 English
Nebraska State Bar Commission AUTHORIZATION AND RELEASE NSBC 1:11 English
Praecipe for Personal Service DC 6:5(22) Instructions English
Order Acknowledging Receipt of Transferred Case and Certificate of Mailing CC 16:2.127 English
Harassment, Worksheet, Information Worksheet DC 19:28 English
Praecipe for Subpoena CC 4:6 English
Order to Show Cause (Visitation) DC 6:5(28) Instructions English
FORM 2 / BONDING COMPANIES NSBC 2:02 English
Affidavit for Transfer of Personal Property without Probate CC 15:40 English
Nebraska Adoption Medical History (Birth Mother) English
Personal and Financial Information for Guardianships and Conservatorships CC 16:2.23 English
Social Security, Gender, and Birth Date(s) DC 6:5(12) Instructions English
Witness and Exhibit List CC 6:18 English
Order to Show Cause (Child Support) DC 6:5(21) Instructions English
Order of Intrastate Transfer and Certificate of Mailing CC 16:2.126 English
Small Claims Certified Mail Instruction and Return CC 4:5 English
FORM 1 / MILITARY SERVICE NSBC 2:01 English
Certificate of Mailing a Notice of Filing a Petition For The Determination of Inheritance Tax CC 15:5 English
Authorization to Conduct Criminal Background Check and Investigation (Interpreters) AD 2:07 English
Application and Affidavit for Intervention on Behalf of the Welfare of the Ward CC 16:2.21 English
Affidavit of Lost Check CC 23:11 English
Decree for Name Change of a Minor DC 6:11(5) Instructions English
Authorization to Withdraw Will CC 15:6 English
Accommodations Request Form (ADA Test Form) NSBC 1:10 English
Affidavit and Application for Order to Show Cause (Child Support) DC 6:5(20) Instructions English
Denial of Intrastate Transfer and Certificate of mailing CC 16:2.125 English
Notice of Transfer to Civil Docket (Small Claims Court) CC 4:3 English
Request Certified or Non-certified Copy of Application for Admission NSBC 1:08 English
Notice - No Notice to Department of Health and Human Services Required CC 15:5.1 English
Worksheet - Divorce with No Children English
Application and Affidavit for Intervention on Behalf of the Welfare of the Ward (fillable) CC 16:2.21 English
Request to Open Adoption Records CC 17:7 English
Notice to Parent of Name Change for a Minor Child DC 6:11(4) Instructions English
Garnishment Affidavit and Praecipe for Summons CC 3:6 English
Praecipe for Writ of Restitution/Execution CC 3:24 English
Nebraska Guardianship Flowchart CC 16:2.85 English
Parenting Plan, Absent Parent, Plaintiff's Use DC 6:5(14) Instructions English
Acceptance of Intrastate Transfer CC 16:2.124 English
Counterclaim or Setoff of Defendant CC 4:2 English
Nebraska State Bar Commission CRIMINAL CASE AMENDMENT FORM 5 NSBC 1:07 English
Application for Access to Confidential Information in JUSTICE Automation System (District Court) ch6art15app4 English
Personal and Financial Information of Parties for Estates and Trusts (Based on Ch 6 Art 14, App 8) CC 15:4 English
Worksheet - Divorce with Children English
Application for Withdrawal of Funds CC 16:2.19 English
Petition for Instructions and/or Directions CC 16:3.24 English
Consent for the Name Change of a Minor Child DC 6:11(3) Instructions English
Speaker Request Form for Justices or Judges ASD 3:03 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
Motion to Move Ward/Incapacitated Person/Protected Person out of the State of Nebraska CC 16:2.61 English
Parenting Plan, Absent Parent, Court Use DC 6:5(13) English
Provisional Transfer of Jurisdiction Order CC 16:2.123 English
Notice of Filing Foreign Judgment CC 3:23 English
Nebraska State Bar Commission EMPLOYMENT AMENDMENT FORM NSBC 1:06 English
Personal and Financial Information of Parties ch6art15app3 English
Release of Claim CC 15:3 English
Request for Confidential or Restricted Access Record English
Notice of Newly Discovered Assets CC 16:2.18 English
Motion for Intrastate Transfer CC 16:3.23 English
Legal Notice for Publication - Name Change Minor Child DC 6:11(2) Instructions English
Speaker Request Form for Judicial Branch Staff ASD 3:02 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
Final Accounting Packet Complete CC 16:2.54 English
Confidential Employment and Health Insurance Information DC 6:5(11) Instructions English
Order Denying the Appointment of the Public Guardian CC 16:2.122 English
Certified Mail Proof of Service CC 3:22 English
Nebraska State Bar Commission GENERAL AMENDMENT FORM NSBC 1:05 English
Criminal Homicide Report Form ch6art15app1 English
Statement of Claim CC 15:2 English
Vital Statistics Certificate (Bureau of Vital Statistics Worksheet) English
Objection CC 16:2.17 English
Motion to Have No Authority Over the Estate of the Ward CC 16:3.21 English
Petition for Name Change of a Minor Child or Children DC 6:11(1) Instructions English
Request for Credit for Teaching Application ASD 3:01 English
Common to all protection types, Flowchart, Which Protection Order Flowchart DC 19:53 English
Order for Withdrawal of Funds from Restricted Account(s) CC 16:2.53 English
Attorney Certificate of Providing Parenting Act Information DC 6:5(9) English
Order Appointing Court Visitor or Guardian Ad Litem CC 16:2.121 English
Service Return CC 3:21 English
Nebraska State Bar Commission NAME CHANGE AMENDMENT FORM NSBC 1:04 English
Subsequent Guardian Ad Litem Report in a Guardianship, Conservatorship, Protective or Probate Proceeding ch6art14app15 English
Demand for Notice CC 15:1 English
Caregiver Information Form JC 14:11(11) English
Notice of Right to Object (Fillable) CC 16:2.16 English
Motion to Terminate Guardianship/Conservatorship CC 16:3.20 English
Temporary Delegation of Parental Powers DC 6:10(1) Instructions English
Order for Withdrawal of Funds from Restricted Account(s)(fillable) CC 16:2.53 English
Temporary Child Information Affidavit DC 6:5(8) English
Order Appointing Public Guardian as Temporary Conservator CC 16:2.120 English
Motion and Affidavit for Default Judgment CC 3:19 English
Nebraska State Bar Commission RESIDENTIAL ADDRESS AMENDMENT FORM NSBC 1:03 English
Initial Guardian Ad Litem Report in Proceeding Under the Nebraska Probate Code ch6art14app14 English
Assignment of Bond CC 13:2 English
Report of Guardian Ad Litem (Juvenile) ch6art17app1 English
Notice of Right to Object CC 16:2.16 English
Motion to Terminate Guardianship/Conservatorship of a Minor CC 16:3.2 English
Instructions for Your Name Change Hearing DC 6:9(a) English
Law School Request for Dean's Certification NSBC 1:09 English
Coin Deposit Document CC 13:26 English
Certificate of Completion of Parenting Education Course (English) DC 6:5(5) Instructions English
Order Appointing Public Guardian as Conservator CC 16:2.119 English
Answer and General Denial with Certificate of Service CC 3:18 English
Nebraska State Bar Commission REVISIONS FORM NSBC 1:02 English
Victim Information, County Court, Confidential ch6art14app13 English
Notice of Payment of Estimated Cost of Bill of Exceptions and Order to Resume Typing CC 9:92 English
Victim Information Neb Ct. R. §6-1524 Apendix 5 ch6art15app5 English
Annual Report of Guardian on Condition of Ward/Incapacitated Person CC 16:2.14 English
Acceptance of Appointment of Temporary Conservator by the Public Guardian CC 16:2.229 English
Decree of Name Change DC 6:9(3) Instructions English
Request and Notice for Expanded Media Coverage of County Court Initial Proceedings AD 1:07 English
Domestic Abuse, Petition and Affidavit for Renewal of Domestic Abuse Protection Order DC 19:49 Instructions English
Order for Approval of Annual Accounting and/or Fees CC 16:2.50 English
Decree of Dissolution of Marriage - With Children (English) DC 6:5(3) Instructions English
Order Appointing Public Guardian as Temporary Guardian CC 16:2.118 English
Fence Dispute Complaint Certified Mail Instruction and Return CC 3:14 English
Nebraska State Bar Commission TRAFFIC VIOLATION AMENDMENT FORM 5T NSBC 1:01 English
Guardian Ad Litem Report (County Court) ch6art14app12 English

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