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
Supreme Court and Court of Appeals Forms
- Motions/Stipulations *
- County Attorney Summary *
- Fax Cover Page *
- Request for Confidential Record
- Sample Certificates *
- Certificate of Civil Appeal, County Court (based on Appendix 2), (Fill-in format)
- Certificate of Civil Appeal, District Court (based on Appendix 5), (Fill-in format)
- Certificate of Criminal Appeal (based on Appendix 6), (Fill-in format)
* These forms are part of the Nebraska Supreme Court Rules.
District Court Forms
Administrative
Appeals
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)
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
Civil
Confidential Information
Criminal
- Correctional Center Cover Sheet, DC 6:8
- Criminal Homicide Report Form *
- Financial Affidavit, CC 6:1A
Delegation of Parental Powers
- Temporary Delegations of Parental Powers Form, DC 6:10(1) (Fill-in format)
- DC 6:10(1) (Arabic)
- DC 6:10(1) (Spanish)
- DC 6:10(1) (Vietnamese)
- Instructions for Filling and General Instructions, DC 6:10(1a)
- DC 6:10(1a) (Arabic)
- DC 6:10(1a) (Spanish)
- DC 6:10(1a) (Vietnamese)
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 (Divorce), DC 6:7 through DC 6:7(2)
- Confidential Party and Social Security, Gender, Birthdate(s) Forms and Instructions, DC 6:5(11) through 6:5(12a)
- Enforcement
- 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, Parent-Created, DC 6:5(6)
- Instructions for Parenting Plan, DC 6:5(6a)
- Parenting Plan, Court-Created, DC 6:5(7)
- Parenting Plan, Absent Parent, Court Use, DC 6:5(13)
- Parenting Plan, Absent Parent, Plaintiff's Use, DC 6:5(14)
- Instructions for Parenting Plan, Absent Parent, DC 6:5(14a)
- Temporary Child Information Affidavit, DC 6:5(8)
- Certificate of Completion of Parenting Education Course, DC 6:5(5)
- Parenting Education Approval Packet -- 2009
Financial
- None at this time
Jury
Name Change
- Adult Name Change Forms and Instructions, DC 6:9(1) through DC 6:9(3a)
- Child(ren) Name Change Forms and Instructions, DC 6:11(a) through DC 6:11(6)
Probation Order
- Order of Probation, DC5:2 (WORD format)
Protection Orders
- 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 (Fill-in format)
- 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 (Fill-in format)
- Petition and Affidavit to Obtain Domestic Abuse Protection Order, DC 19:8
- Protection Order Information (Domestic Abuse), DC 19:9
- Ex Parte Domestic Abuse Protection Order, DC 19:10
- Modified Domestic Abuse Protection Order, DC 19:11B
- Domestic Abuse Protection Order, DC 19:12
- 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
- Motion to Vacate and Set Aside and to Dismiss, DC 19:18
- Request for Modification to Domestic Abuse Protection Order, DC 19:19
- Order Affirming Domestic Abuse Protection Order, DC 19:20
- Order to Dismiss Domestic Abuse Protection Order, DC 19:21
- Order to Dismiss Harassment Protection Order, DC 19:22 (WORD format)
- Social Security, Gender, Birth Date(s), DC 6:5(12) (Fill-in format)
- DC 6:5(12) (Spanish)
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
- JC 14:5 (Spanish)
- Abuse Neglect Cases, Journal Entries and Orders for, JC 14:11(1) through JC 14:11(8)
- Caregiver Information Form
- Waiver of Parental Notification for Abortion for Minors, JC 14:6 through JC 14:10
Probation Order
- Order of Probation, JC14:12 (WORD format)
County Court Forms
Administrative
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 *
- Praecipe for Transcript (Small Claims), CC 9:6
- Praecipe for Bill of Exceptions (Small Claims), CC 9:7
- Order Permitting Small Claims Appeal In Forma Pauperis, CC 9:8
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 CC 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
- CC 3:3 (Spanish)
- Summons -- Replevin, CC 3:4
- Temporary Order in Replevin and Notice for Hearing, CC 3:5
- Garnishments, CC 3:6 through 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
- Personal and Financial Information of Parties (general civil cases), CC 16:13
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 (effective 01-01-2010)
- Notice Upon Conviction of a Misdemeanor Crime Involving Domestic Violence, CC 6:10
Guardianships/Conservatorships
- Letters of Conservatorship, CC 16:1
- Inventory, CC 16:2
- CC 16:2 (Arabic) (under revision)
- CC 16:2 (Spanish) (under revision)
- CC 16:2 (Vietnamese) (under revision)
- Order to Show Cause -- Inventory, CC 16:3
- Annual Accounting/Statement of Assets, CC 16:4 (must also attach Certificate of Proof of Possession)
- CC 16:4 (Arabic) (must also attach (Certificate of Proof of Possession - Arabic)
- CC 16:4 (Spanish) (must also attach (Certificate of Proof of Possession - Spanish)
- CC 16:4 (Vietnamese) (must also attach (Certificate of Proof of Possession - Vietnamese)
- Certificate of Proof of Possession (must be attached to CC 16:4)
- Certificate of Proof of Possession (must be attached to CC 16:4) (Arabic) (under revision)
- Certificate of Proof of Possession (must be attached to CC 16:4) (Spanish) (under revision)
- Certificate of Proof of Possession (must be attached to CC 16:4) (Vietnamese) (under revision)
- 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 for a Minor, CC 16:9a
- CC 16:9a (Arabic) (under construction)
- CC 16:9a (Spanish) (under construction)
- Letters of Guardianship for an Incapacitated Person, CC 16:9b
- CC 16:9a (Arabic) (under construction)
- CC 16:9a (Spanish) (under construction)
- Annual Report of Guardian on Condition of Ward, CC 16:10
- Personal and Financial Information of Parties (estates, trusts, guardianships, conservatorships), CC 16:12
- Quick Reference for Guardians/Conservators
- Quick Reference for Guardian/Conservators (Arabic)
- Quick Reference for Guardian/Conservators (Spanish)
- Quick Reference for Guardian/Conservators (Vietnamese)
Jury
- Request for Jury, CC 7:1
- Order to Appear for Jury Service After Summons, CC 7:2
- Voir Dire, CC 7:3
- Jury List, CC 7:4
- Verdict of Jury
- Jury Fee List, CC 7:7
Probate/Estates
Probation Order
- Order of Probation, CC6:10 (WORD format)
Small Claims
- Plaintiff's Claim and Notice to Defendant, CC 4:1 (Fill-in format)
- Counterclaim or Setoff of Defendant, CC 4:2 (Fill-in format)
- 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
Warrants
* These forms are part of the Nebraska Supreme Court Rules.
Administrative Forms
Expense and Travel Reimbursement Reporting
Attorney Forms
- Trust Accounts and Blanket Bonds * (Trust Accounts and Blanket Bonds Rules, Appendix 1)
Affidavit to be filed annually with the NSBA.
- Approved Financial Institution List
- Trust Accounts and Blanket Bonds Rule *
FAX Cover Page * (Rules for Use of Fax Machines in State Courts, Appendix 1). FAX Cover sheet for use in Nebraska Courts – use only for documents to be filed in the court file. Rules for the Use of FAX Machines in State Courts *
Interpreters Forms for Payments
Judges' Forms *
- Judicial Financial Interest Statement
- Report of Cases Under Advisement
Judicial Branch Education Forms
- Juror Management Worksheet
- Request for Access to Computer Based Training (CBT)
- Request for Commitment of Funds, Attendance at Non-Sponsored JBE Program (Fill-in format)
- Request for Credit, Non-JBE Sponsored Program (Fill-in format)
Judicial Vacancy Application Package
Juvenile Civil Citation *
Request for Transcription
Timesheets
- Official Court Reporter Monthly Timesheet *
- County Court Time Sheet (Fill-in format)
This file last modified Friday August 06, 2010 13:57:38