The Nebraska HHS 73 form serves as a vital document within the state's Department of Health and Human Services, specifically within the realm of Finance and Support Vital Records. It is intricately designed to record the details of dissolutions of marriage or annulments processed within the jurisdiction of Nebraska. This comprehensive form captures a wide range of data, including the county or tribal court details, court record numbers, and the certification of the dissolution or annulment of marriage. It requires personal information from both parties, such as names, current residences, places of birth, dates of birth, and details regarding the marriage like the place and date of marriage. Additionally, the form touches upon matters involving children under 18, detailing custody arrangements and the number of children affected. Financial and support arrangements post-dissolution or annulment, such as alimony, child support, property settlement, and medical reimbursement, are also addressed. Furthermore, it collects demographic information, including social security numbers, Hispanic or Latino origin, and racial identification, providing a comprehensive snapshot of the individuals involved. The Nebraska HHS 73 form is critical for accurate record-keeping and administrative purposes, ensuring that all aspects of the dissolution or annulment are meticulously documented for the state records.
| Question | Answer |
|---|---|
| Form Name | Nebraska Hhs 73 Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | 11d, nebraska hhs 73 55073, rk, 20b |