Initial Information – Paternity

Step 1 of 2

This information is necessary to file your initial pleadings and the process cannot begin until we have this information fully completed.

Name(Required)

First Middle Last

Preferred Name (if different)(Required)

First Middle Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

SSN(Required)

DOB(Required)

Birthplace(Required)

How long have you lived in Nebraska/Iowa?(Required)

Has there been emotional or physical abuse in the relationship?(Required)

Yes

If yes, please explain(Required)

INFORMATION ABOUT CO-PARENT

Co-Parent's Name(Required)

First Middle Last

Email(Required)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

SSN

DOB

Birthplace

Age

Phone Number

What needs to be modified and why (ex: child support, custody?)

INFORMATION ABOUT YOUR CHILDREN: (Minor Children only. If needed, Social Security numbers can be found on your previous tax returns.)

Name

First Last

DOB

SSN

Gender

Name

First Last

DOB

SSN

Gender

Name

First Last

DOB

SSN

Gender

Name

First Last

DOB

SSN

Gender

Whose name is listed on the child’s birth certificate?

Please state all addresses where your children have lived for the last five years including the dates that the children were at each location (this and other information is requested by the Bureau of Vital Statistics for all divorces in Nebraska):

Current Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

With whom lived at this address

Dates at this Address

Current Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

With whom lived at this address

Dates at this Address

Current Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

With whom lived at this address

Dates at this Address

Are you now, or have you ever been, involved in any other Court proceedings regarding your children?

If yes, please explain those proceedings including which County and a case number if you have it

Does anyone, other than you or your co-parent, claim any rights to visitation or custody of your children?

If yes, please explain

Have there ever been any other custody actions regarding your children or protection orders against you or your co-parent?

If yes, please explain

Are you or your co-parent currently in the military:

If yes, please explain (include rank, dates and any other relevant information)

Have you or the co-parent ever been convicted of a crime?

If yes, please explain

Who covers health insurance for the children?

I Do

Co-Parent

N/A

What custody arrangements are you seeking?

Joint

Primary

In some cases, the judge could order, or the parties could agree, that one person will pay some of the attorney fees of the other. This request should be included in the initial filing documents that we will prepare. Just requesting this will not guarantee that it will be ordered or agreed. Do you want us to include a request for some of your attorney fees to be paid by the other party in your case?

Yes

Initial Information – Paternity

INFORMATION ABOUT CO-PARENT

INFORMATION ABOUT YOUR CHILDREN: (Minor Children only. If needed, Social Security numbers can be found on your previous tax returns.)

Please state all addresses where your children have lived for the last five years including the dates that the children were at each location (this and other information is requested by the Bureau of Vital Statistics for all divorces in Nebraska):

Who We Are

Let’s Talk

Find Us

Hours