Court Forms and Publications

Learn about workers’ compensation: [English] [Spanish]

Learn about choosing a doctor:

• Choosing a doctor: [English] [Spanish]

• Form 50, Choice of Doctor: [English] [Spanish]

Learn about getting back to work:

• Return-to-Work Services: [English] [Spanish]

• Return-to-Work Services (Vocational Rehabilitation) Forms

Learn about representing yourself in a workers’ compensation claim: [English] [Spanish]

Legal resources for representing yourself (provided by the Access to Justice Commission)

What you need to know before going to court (provided by the Nebraska Supreme Court’s Committee on Self-Represented Litigation)

Nebraska Workers’ Compensation Court Rules of Procedure

Nebraska Workers’ Compensation Law

Learn about informally working out a disagreement [English] [Spanish]

• Informal Dispute Resolution (Mediation) Request

• Informal Dispute Resolution (Mediation) Evaluation

Independent Medical Examiner (IME):

• IME General Frequently Asked Questions

• IME Physician Frequently Asked Questions

• IME Timeline

• Form 62: Independent Medical Examiner Application for Appointment

• Form 63-1: Request for Independent Medical Examiner

• Form 67-2: Notice of Agreement to Use a Named Independent Medical Examiner

Petition and Addendum 3 (Combined Form)

Addendum 3 (Individual Form)

Answer to Petition

General Motion

Motion to Continue and Proposed Order of Continuance (Combined Form)

Request for Subpoena

Request for Interpreter

Interpreter Selection Affidavit

Appealing a Court Decision:

• Notice of Appeal

• Affidavit and Application to Proceed Without Payment of Costs

• Request for Transcript

• Request for Bill of Exceptions

Fee Schedules

Coverage information:

• Agricultural Operations and Workers’ Compensation

• Form 12: Record of Compensation Insurance,

• Form 12P: Record of Compensation Insurance (Intergovernmental Risk Management Pool)

Settlement Information:

• Settlement Application

• Release of Liability

Workers’ Compensation Reports:

• Annual Report (published by fiscal year)

• Statistical Report (published by calendar year)

• Bureau of Labor Statistics Reports (published by calendar year)