Nebraska Shared Parenting Foundation
New Client Application
Please choose a service from the following:
Limited Scope Clinic
Attorney Referral
Mediation Services
Financial Services
Un-Bundled Package
Today's Date
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Month
/
Day
Year
Date
Name
*
First Name
Middle Name
Last Name
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
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District of Columbia
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Tennessee
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Utah
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West Virginia
Wisconsin
Wyoming
State
Zip Code
Email
*
example@example.com
Date of Birth
-
Month
-
Day
Year
Date
Phone Number
-
Area Code
Phone Number
Case Number, if applicable relating to current legal issue
Nebraska County where your case is located
Other Parent or Party Involved
*
First Name
Middle Name
Last Name
Address of Other Parent or Party
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Date of Birth
-
Month
-
Day
Year
Date
Email
example@example.com
Is this a New Case Filing?
Yes
No
Are you Answering to a Case being filed against you?
Yes
No
Are you Currently Paying Child Support Order by the Court?
Yes
No
What Filing do you need?
Divorce
Paternity (Custody) Filing
Child Support Modification
Custody Modification
Other
Number of Children Involved
Please Provide the Following for Each Child: First & Last Name; Date of Birth
Please provide the Dates and Addresses where the child or children have lived the last 5 years.
Who does the child or children currently live with?
Your currently monthly income.
The other parent or party's estimated monthly income.
Please use this space to provide any specifics about your case and what you wish to accomplish.
Submit
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