Last updated: 9/24/2025
Notice Of Appeal
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Description
NOTICE OF APPEAL. This is a Nebraska Workers’ Compensation Court form used when a party seeks to challenge a court decision by appealing to the Nebraska Court of Appeals. This form gives formal notice that the plaintiff or defendant intends to appeal an Award, Order of Dismissal, or other decision issued by the Workers’ Compensation Court. It requires identifying the case docket, date of the decision, and the party filing the appeal. The packet includes a Certificate of Service, certifying that copies were provided to opposing parties by mail, fax, hand delivery, or email. Filing this notice preserves the party’s right to appellate review. www.FormsWorkflow.com





