COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Calendar No. : JUDICIAL SUBPOENA Report of Cases Under Advisement Plaintiff(s) TO: Nebraska Supreme Court -againstAdministrative Office of Courts/Probation FROM:_________________________________ Workers’ Compensation Judge : : : Defendant(s) : . .MONTH. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ....... ENDING:_______________________________ THE PEOPLE OF THE STATE OF have been under advisement for more than 90 days. _____ I have no matters which NEW YORK TO _____ I have _____ matter(s) which has/have been under advisement for more than 90 days. Provide case description below. (To report more than one case, attach additional form.) GREETINGS: Case Title:_______________________________________________________________ WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Case , the Honorable Number:____________________________________________________________ at the Court located at County of in room Location on the , of Hearing:_______________________________________________________recessed day of , 20 , at o'clock in the noon, and at any or adjourned date, to testify and give evidence as a witness in this action on the part of the Date Taken Under Advisement:____________________________________________, Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to Describe the nature of the matter issued for a and the reason it has not been damages the party on whose behalf this subpoena was for decisionmaximum penalty of $50 and all decided: sustained as a result of your failure to comply. ________________________________________________________________________ Witness, Honorable , one of the Justices of the ________________________________________________________________________ Court in County, day of , 20 ________________________________________________________________________ (Attorney must sign above and type name below) ________________________________________________________________________ ________________________________________________________________________ Attorney(s) for (Use the reverse side of this form or an additional page if needed.) Dated this ______ day of ________________, _____. _________________________________ Office and Signature P.O. Address Please submit reports no later than the 5th of each month to: Telephone No.: Administrative Office of Courts/Probation, P.O. Box 98910, Lincoln, NE 68509-8910 Facsimile No.: Adopted March 13, 2002. E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com