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Request For Hearing (Harassment And Domestic Abuse) Form. This is a Nebraska form and can be use in District Court Statewide.
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Tags: Request For Hearing (Harassment And Domestic Abuse), 19-14, Nebraska Statewide, District Court
STATE OF NEBRASKA
FORM NO. 19-14 Rev. 7/06
CASE NUMBER:
REQUEST FOR
HEARING
Neb. Rev. Stat. ยง 42-924 - 28-311.09
IN THE DISTRICT COURT OF
DOCUMENT No.:
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:
(Employment)
Telephone: (Home)
RETURN TO:
Clerk of the District Court
(Address:)
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