CERTIFICATE OF SERVICE

Caption Example

IN THE DISTRICT COURT OF [COUNTY] COUNTY, NEBRASKA

[PLAINTIFF NAME],
Plaintiff,

v. Case No. [CASE NUMBER]

[DEFENDANT NAME],
Defendant.

Service Statement

Pursuant to Neb. Ct. R. Pldg. § 6-1105, I certify that on [DATE OF SERVICE] I served the [TITLE OF DOCUMENT SERVED] on the following person(s):

• Recipient: [NAME]
• Capacity: [E.G., "Attorney for Plaintiff"]
• Service Address/Email: [CONTACT INFORMATION]
• Method(s):
• [ ] Electronic service via Nebraska Judicial Branch eFiling (JUSTICE)
• [ ] Electronic mail (consent obtained)
• [ ] Personal service
• [ ] U.S. Mail, first-class postage prepaid
• [ ] Certified Mail / Commercial courier
• Time of Service: [TIME]

[Repeat bullet list as needed.]

Additional Notes

• Mailing deposited at: [CITY, STATE].
• eFiling transaction/confirmation number: [ID].
• If service made pursuant to a court-approved alternate method, describe: [DETAILS OR "N/A"].

Declaration

I declare under penalty of perjury that the foregoing is true and correct.

Date: [DATE]

[NAME OF SERVING ATTORNEY OR PARTY]
[NEBRASKA BAR NUMBER]
[FIRM NAME]
[ADDRESS]
[PHONE]
[EMAIL]
Attorney for [PARTY] / Pro Se [PARTY]

Practitioner Notes

• Maintain proof of service for potential appellate record requirements under Neb. Ct. R. App. P. § 2-109.
• Confirm compliance with privacy protections (Neb. Ct. R. § 6-1521) when serving documents containing personal information.
• Some counties may require additional distribution lists (e.g., court-appointed guardians); include as necessary.