Forms

This page provides access to the forms currently available to the legal community, local courts and the public 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. They are organized under the court in which they are used, or you may enter the topic or title of the form in the search box above for quicker access.

If you are interested in representing yourself in court, there are a number of forms designed specifically for your use. The Self Help page of this Web site contains forms, instructions and resources.

Supreme Court and Court of Appeals Forms

District Court Forms

Juvenile Court Forms

County Court Forms

Administrative Forms

Supreme Court and Court of Appeals Forms

• Motions/Stipulations
• County Attorney Summary
• Fax Cover Page
• Request for Confidential Record
• Sample Certificates

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District Court Forms

Administrative

• Criminal Homicide Report Form
• Statistical Reporting Instructions

Appeals

• Sample Certificate of Transcript (Civil Appeal and Criminal Appeal)

Bonds

• Notice of Rights Of An In Custody Defendant (in both Spanish and English)
• Notice of Right To Post Bond (in both Spanish and English)
• Affidavit In Support Of Personal Recognizance Bond (in both Spanish and English)
• Memo & Court Order to Sheriff, Jailer, Others (in English only)
• Guidelines For Implementing Bilingual Bail/Bond Documents (in English only)

Civil

• Garnishments, CC 3:6 through CC 3:8E
  • Affidavit, CC 3:6
  • Order of Summons in Garnishment and Interrogatories, CC 3:7
  • Employers Instructions, CC 3:8A
  • Notice to Judgment Debtor, CC 3:8B
  • Order to Deliver, CC 3:8C
  • Application and Order of Continuing Lien, CC 3:8D
  • Notice of Extension, CC 3:8

Criminal

• Correctional Center Cover Sheet, CC 6:8
• Criminal Homicide Report Form
• Financial Affidavit, CC 6:1A

Child Support

• Worksheet 1 (basic net income and support calculation), DC 6:1(1)
• Worksheet 2 (split custody calculation), DC 6:1(2)
• Worksheet 3 (joint physical custody calculation), DC 6:1(3)
• Worksheet 4 (number of children calculation), DC 6:1(4)
• Worksheet 5 (deviations to Child Support Guidelines), DC 6:1(5)
• Worksheet 6 (imputation of Childcare Tax Credit), DC 6:1(6)
• Table 1 (income shares formula table), DC 6:1(7)
• Child Support Termination Application and Affidavit, DC 6:2
• Waiver of Notice Termination of Child Support, DC 6:3

Divorce

• Simple Divorce Forms and Instructions

• With No Children or Property Disputes Involved , DC 6:4(1) through DC 6:4(6)
• With Children But No Custody Disputes, No Visitation Disputes or No Property Disputes, DC 6:5(1) through DC 6:5(12)
• Service by Publication Forms and Instructions, DC 6:6 through DC 6:6(7)
• In Forma Pauperis Forms and Instructions, DC 6:7 though DC 6:7(2)

 

• Parenting Act Forms (required by N.R.S. 43-2920, et seq. (2007)
  • Attorney Certificate of Providing Parenting Act Information, DC 6:5(9)
  • Parenting Plan, Sample Parent-Created, DC 6:5(6)
  • Parenting Plan, Sample Court-Created, DC 6:5(7)
  • Certificate of Completion of Parenting Education Course, DC 6:5(5)

Name Change

• Adult Name Change Forms and Instructions, DC 6:9(1) through DC 6:9(3a)
• Children's Name Change Forms and Instructions (under construction)

Delegation of Parental Powers

• Temporary Delegations of Parental Powers Form, DC 6:10(1)
• Instructions for Filing and General Instructions, DC 6:10(1a)

Financial

• None at this time

Jury

• Nebraska Juror Qualification Form

Protection Orders (under construction)

• Praecipe, DC 19:1
• Petition and Affidavit to Obtain Harassment Protection Order, DC 19:2
• Protection Order Information (Harassment), DC 19:3
• Harassment Protection Order (Ex Parte), DC 19:4
• Harassment Protection Order (After Hearing, Ex Parte Order Issued), DC 19:5
• Harassment Protection Order (After Hearing No Ex Parte Order Issued), 19:6
• Protection Order – Order to Show Cause – Harassment, DC 19:7
• Petition and Affidavit to Obtain Domestic Abuse Protection Order, DC 19:8 (Modified 6-08)
• Protection Order Information (Domestic Abuse), DC 19:9 (Modified 6-08)
• Ex Parte Domestic Abuse Protection Order, DC 19:10 (Modified 6-08)
• Domestic Abuse Protection Order (After Hearing, Ex Parte Order not Modified), DC 19:11A (Obsolete 7-18-08)
• Modified Domestic Abuse Protection Order, DC 19:11B (Modified 6-08)
• Final Domestic Abuse Protection Order, DC 19:12 (Modified 6-08)
• Order to Show Cause – Domestic Abuse, DC 19:13
• Request for Hearing (Provided with all Ex parte Harrassment Orders), 19:14
• Notice of Hearing (Used when a request for hearing form is filed in a Harrassment Protection Order), DC 19:15
• Order Dismissing Petition, DC 19:16
• Domestic Abuse Protection Order (Ex Parte – Partial) Order to Show Cause, DC 19:17 (Obsolete 7-18-08)
• Motion to Vacate and Set Aside and to Dismiss, DC 19:18

Waiver of Parental Notification for Abortion for Minors

• Instructions for Waiver of Parental Notification, JC 14:6
• Petition for Waiver of Parental Notification, JC 14:7
• Parental Notification -- Notice of Appeal, JC 14:8
• Parental Notification -- Order and Findings, JC 14:10

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Juvenile Court Forms

• Summons, JC 14:1
• Notice in Lieu of Summons -- Juvenile First Appearance, JC 14:1A
• Subpoena, JC 14:2
• Order for Hearing, JC 14:4
• Guardian Ad Litem Checklist, JC 14:5
• Abuse Neglect Cases, Journal Entries and Orders for, JC 14:11(1) through JC 14:11(9)
• Caregiver Information Form
• Waiver of Parental Notification for Abortion for Minors, JC 14:6 through JC 14:10
  • Instructions for Waiver of Parental Notification, JC 14:6
  • Petition for Waiver of Parental Notification, JC 14:7
  • Parental Notification -- Notice of Appeal, JC 14:8
  • Parental Notification -- Order and Findings, JC 14:10

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County Court Forms

Administrative

• Financial Affidavit, CC 6:1A
• Statistical Reporting Instructions
  
  

Adoptions

• Order Directing Investigation, CC 17:2
• Journal Entry, CC 17:3
• Notice of Adoptive Placement of an Indian Child, CC 17:4
• Notice of Adoption -- Medical History, CC 17:5
• Certification of Adoption, CC 17:6

Appeals

• Appeal Recognizance, CC 9:1
• Notice of Appeal (Small Claims), CC 9:2
• Appeal Bond (Small Claims), CC 9:3
• Supersedeas Bond, CC 9:4
• County Court Appeal to District Court, Certificate of Transript, CC 9:5

Bonds

• Appearance Bond, CC 13:1
• Assignment of Bond, CC 13:2
• Bond Review Hearing, CC 13:3
• Declaration of Forfeiture of Bail, CC 13:4
• Order to Set Aside Forfeiture of Bail, CC 13:5
• Judgment of Default and Execution, CC 13:6
• Guidelines for Implementing Bilingual Bail/Bond Documents, CC 13:7 (under construction)
• Notice of Rights of an In-Custody Defendant, CC 13:7(1) (under construction)
• Notice of Right to Post Bond, CC 13:7(2) (under construction)
• Affidavit in Support of Personal Recognizance Bond, CC 13:7(3) (under construction)
• Memorandum and Court Order to Sheriff, Jailer and Others regarding the Use of Forms 13-7(1) through (3), CC 13:7(4) (under construction)

Civil

• Order for Hearing, CC 3:1
• Summons, CC 3:2
• Summons for Restitution of Premises, CC 3:3
• Summons -- Replevin, CC 3:4
• Temporary Order in Replevin and Notice for Hearing, CC 3:5
• Garnishments, CC 3:6 through CC 3:8E
  • Affidavit, CC 3:6
  • Order of Summons in Garnishment and Interrogatories, CC 3:7
  • Employers Instructions, CC 3:8A
  • Notice to Judgment Debtor, CC 3:8B
  • Order to Deliver, CC 3:8C
  • Application and Order of Continuing Lien, CC 3:8D
  • Notice of Extension, CC 3:8E
• Praecipe for Execution, CC 3:9
• Execution, CC 3:10
• Execution -- Notice of Exemptions, CC 3:11
• Subpoena Duces Tecum, CC 3:12
• Fence Dispute Complaint, CC 3:13
• Certified Mail Instructions for Fence Disputes, Guide to Mediation of Fence Disputes, CC 3:14

Condemnation

• No forms currently available.

Criminal

• Subpoena, CC 6:2
• Order to Show Cause, CC 6:4
• Commitment to County Jail, CC 6:5
• Mittimus, CC 6:5A
• Citation in Lieu of Arrest, CC 6:6
• Certificate of Transcript, CC 6:7
• Waiver of Extradition, CC 6:8
• Sex Offender Registration Form, CC 6:9

Guardianships/Conservatorships

• Letters of Conservatorship, CC 16:1
• Inventory, CC 16:2
• Order to Show Cause -- Inventory, CC 16:3
• Annual Accounting/Statement of Assets, CC 16:4 (must also attach Certificate of Proof of Possession)
• Certificate of Proof of Possession (must be attached to CC 16:4)
• Order to Show Cause -- Annual Accounting, CC 16:5
• Order for Hearing on Approval of Fees, CC 16:6
• Application, Order and Notice for Approval of Annual Accounting and Fees, CC 16:7
• Address Information Sheet, CC 16:8
• Letters of Guardianship, CC 16:9
• Annual Report of Guardian on Condition of Ward, CC 16:10
• Quick Reference for Guardians/Conservators, CC 16:11 (under construction)
• Quick Reference for Conservators with CD only, CC 16:11(1) (under construction)

Jury

• Request for Jury, CC 7:1
• Order to Apear for Jury Service After Summons, CC 7:2
• Voir Dire, CC 7:3
• Jury List, CC 7:4
• Verdict of Jury
  • Civil, CC 7:5
  • Criminal, CC 7:6
• Jury Fee List, CC 7:7

Probate/Estates

• Demand for Notice, NCLE Form 100 (under construction)
• Statement of Claim, NCLE Form 313 (under construction)
• Affidavit for Transfer of Personal Property withouth Probate, NCLE Form 150 (under construction)
• Affidavit for Transfer of Decedant's Motor Vehicle, DMV Form 1097S (under construction)

Small Claims

• Plaintiff's Claim and Notice to Defendant, CC 4:1
• Counterclaim or Setoff of Defendant, CC 4:2
• Notice of Transfer to Civil Docket and Pretrial Order, CC 4:3
• Small Claims Judgment, CC 4:4
• Certified Mail Instruction and Return, CC 4:5

Traffic

• Waiver and Plea of Guilty, CC 2:1
• Waiver/Fine Schedule

Waiver of Parental Notification for Abortion for Minors

• Instructions for Waiver of Parental Notification, JC 14:6
• Petition for Waiver of Parental Notification, JC 14:7
• Parental Notification -- Notice of Appeal, JC 14:8
• Parental Notification -- Order and Findings, JC 14:10

Warrants

• Arrest/Bench Warrant, CC 12:1

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Administrative Forms

• Expense and Travel Reimbursement Reporting
• Attorney Forms

  Trust Accounts and Blanket Bonds
  Fax Cover Page

• Interpreters Forms for Payments
• Judicial Qualifications Commission

  Complaint Against Judges

• Judges' Forms

  Judicial Financial Interest Statement
  Report of Cases Under Advisement (Fill-in format)

• Judicial Vacancy Application Package
• Personnel Forms

  Official Court Reporter Monthly Timesheet
  County Court Time Sheet (Fill-in format)

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