Fill and Sign the Master Forms List Nebraska Judicial Branch Nebraskagov

Nebraska State Court Form CHANGE OF CONTACT INFORMATION DC 3:02 Rev. 06/19 IN THE _________________________________________ COURT OF __________________COUNTY, NEBRASKA (County or District) Type of Case - Check only one: Probate ✔ Adoption (county where original petition filed) Civil, Small Claims, Traffic, and Criminal (includes divorce, child support, custody, etc.) Emancipation Name change - Minor Name change - Adult The items in this box will NOT print on your form. CASE No. ___________________________ Plaintiff/Petitioner vs. CHANGE OF CONTACT INFORMATION ___________________________ Defendant/Respondent I, _______________________________, am informing the court that the current address to be used for all future official court correspondence in the above entitled case is the following: • Current Address : City, State, Zip Code I also inform the court that the current telephone and e-mail address, to be used for all future official court correspondence in the above entitled case is: • Telephone Number : • E-mail address : ____________________________________________________________________ NOTE: By providing this e-mail address, I acknowledge that I am aware that this information will be public record. I also understand that I will only receive e-mail communications regarding this case from the court. I DO NOT want to continue receiving e-mail communications regarding this case from the court. I understand that if I provided an e-mail address previously, it is still public record. I agree to promptly advise the court clerk of any changes in the above information. Date Signature Print or Type Name Street Address/P.O. Box Bar Number and Firm Name (attorneys only) City/State/ZIP Code Page 1 of 1 Change of Contact Information DC 3:02 Rev. 06/19 Phone E-mail Address