CIVIL COVER SHEET

(Nebraska State Court)

[// GUIDANCE: Some counties have their own format. Confirm local filing rules (fee schedules, arbitration tracks, or specialty business courts) before submission.]

1. CAPTION

text
IN THE [COURT TYPE] COURT OF [COUNTY], NEBRASKA

[PLAINTIFF NAME], PLAINTIFF
v. CASE NO.: [TBD BY CLERK]
[DEFENDANT NAME], DEFENDANT

2. PARTY INFORMATION

• Plaintiff(s): [NAME / ADDRESS / PHONE / EMAIL]
• Defendant(s): [NAME / ADDRESS / PHONE / EMAIL]
• Additional parties: attach list if needed.

3. ATTORNEY OR SELF-REPRESENTED PARTY

• Name / Bar No.: [ATTORNEY NAME], NE Bar [NUMBER]
• Firm: [LAW FIRM NAME]
• Address: [STREET, CITY, STATE ZIP]
• Phone/Email: [PHONE] | [EMAIL]
• ☐ Self-represented (Pro Se)

4. CASE TYPE (CHECK PRIMARY)

• ☐ Contract / Business / Commercial
• ☐ Real Property (quiet title, ejectment, foreclosure, landlord/tenant)
• ☐ Tort (personal injury, property damage)
• ☐ Medical / Professional Liability
• ☐ Products Liability
• ☐ Employment (discrimination, wage, restrictive covenant)
• ☐ Probate / Guardianship (if applicable)
• ☐ Domestic Relations (if applicable)
• ☐ Other Civil: [DESCRIBE]

5. AMOUNT IN CONTROVERSY

• Monetary relief: $[AMOUNT] (exclusive of fees/costs)
• Non-monetary / equitable relief: [DESCRIBE]

6. JURY DEMAND

• ☐ Jury requested
• ☐ Non-jury

7. RELATED CASES

• Related case numbers/courts: [LIST OR "NONE"]
• Prior appeals/arbitrations: [LIST OR "NONE"]

8. SERVICE & SPECIAL NOTES

• Service addresses and method (sheriff/process server/certified mail): [DETAILS]
• Interpreter or accommodation needed: [YES/NO - LANGUAGE/ACCOMMODATION]

9. SIGNATURE

text
Date: [DATE]

____________________________________
[ATTORNEY NAME], NE Bar [NUMBER] / Pro Se
Attorney for [PLAINTIFF/DEFENDANT]
[// GUIDANCE: Confirm any county supplements (e.g., arbitration track selection, business court designation, minor-name confidentiality).]