Affidavit And Application To Proceed Without Payment Of Costs | Pdf Fpdf Doc Docx | Nebraska

 Nebraska   Workers Comp 
Affidavit And Application To Proceed Without Payment Of Costs | Pdf Fpdf Doc Docx | Nebraska

Last updated: 9/24/2025

Affidavit And Application To Proceed Without Payment Of Costs

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Description

AFFIDAVIT AND APPLICATION TO PROCEED WITHOUT PAYMENT OF COSTS. This is a Nebraska Workers’ Compensation Court form that allows a plaintiff or defendant to request a waiver of court costs due to financial hardship. Commonly used when appealing a decision to the Nebraska Court of Appeals, this form requires applicants to detail employment status, income, assets, dependents, and monthly expenses. Additional financial circumstances may also be provided to support the request. The affidavit must be signed under oath before a notary public, affirming the truth of the statements. If granted, the applicant may proceed without prepaying fees, costs, or security as permitted under Neb. Rev. Stat. § 48-182. www.FormsWorkflow.com

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