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Nebraska Acknowledgment of Maternity (CSE-9)

Nebraska DHHS Child Support EnforcementParentage and paternityForm CSE-9Free downloadLast verified November 10, 2026

The birth mother and the biological mother use this form to acknowledge maternity so the biological mother is listed on the birth certificate instead of the birth mother. It is filed with Nebraska Vital Records.

Who can use this form

  • The birth mother and the biological mother, together

What to send with it

  • Form signed by both in front of a notary
  • Statutory amendment fee plus the fee per certified copy; the amounts are not printed on the form

Where to send it

Mail to
Vital Records Management P.O. Box 95065 Lincoln, NE 68509 Douglas County births: Douglas County Health Department, 1819 Farnam St., RM H-01, Omaha, NE 68183
State fee
Amounts not printed on the form: statutory amendment fee plus a fee per certified copy
Typical processing
Not provided
Issued by
Nebraska DHHS Child Support Enforcement
Form revision
10/2020
Source
Not provided
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Nebraska Acknowledgment of Maternity (CSE-9) | Nebraska Form