Nebraska DHHS System: Application for Child Support Services: Applicant Information

Your Information
Child Information
Court Order Information
- Court Order Information
- Court Order Summary
Health Coverage Information
- Health Coverage Information
Application Summary
- Application Summary
- Confirmation

Applicant Information

Note: an asterisk [*] indicates a required field.

“Please note: If neither party lives in NEBRASKA, and there is no existing order from a NEBRASKA court, then we will not be able to provide services.”

Mailing Address

* Address Line 1

Address Line 2

Address Line 3

* City

* State/Territory

* Zip Code

* County

Country

Foreign Postal Code

Residential Address

Address Line 1

Address Line 2

Address Line 3

City

State/Territory

Zip Code

County

Country

Foreign Postal Code