Free Request for Hearing (Provided with all Ex parte Harrassment Orders), 19:14 - Nebraska


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STATE OF NEBRASKA FORM NO. DC 19-14 Rev. 7/06
Neb. Rev. Stat. ยง 42-924 - 28-311.09

REQUEST FOR HEARING

CASE NUMBER: DOCUMENT No.:

IN THE DISTRICT COURT OF

COUNTY, NEBRASKA

REQUEST FOR HEARING
Petitioner

vs.
Respondent On , I was served with a protection order in this case. I wish to appear and show cause why the order should not remain in effect, and request a hearing for that purpose. I understand that notice of the time and place of hearing shall be mailed to the address set forth below. I ( do do not) speak English. My language is .

Date:

, (Signature)

Mailing Address: City, State, Zip Code: Telephone: (Home) (Employment)

RETURN TO: Clerk of the District Court (Address:)