Confidential Employment And Health Insurance Information {DC-6-5-11}

DC 6:5.11 - CONFIDENTIAL EMPLOYMENT AND HEALTH INSURANCE INFORMATION. This form is used in Nebraska District Court cases, typically involving family law matters such as child support, custody, or divorce. It is required under Nebraska Revised Statute § 42-364.13 and Nebraska Court Rule § 4-215. The purpose of the form is to collect detailed employment and health insurance information from both the plaintiff and the defendant. Each party must provide their contact information, employer name and address, and details about any health insurance policies provided through their employment. This includes the insurance company’s name, policy number, where to submit claims, and whether coverage is available for minor children. The form is confidential and helps the court make informed decisions about issues such as child support obligations, medical support, and financial responsibilities of each parent. www.FormsWorkflow.com