Nebraska Acknowledgment of Paternity (CSE-11)
Nebraska DHHS Child Support EnforcementParentage and paternityForm CSE-11Free downloadLast verified November 10, 2026
Unmarried parents use this form to acknowledge paternity so the father's name can be added to the child's Nebraska birth certificate. It is filed with Nebraska Vital Records.
Who can use this form
- Both biological parents of a child born out of wedlock
- Not for use if the mother was married at conception, at birth or in between, or if a father is already listed
What to send with it
- Form signed by both parents in front of a notary
- Statutory amendment fee plus the fee per certified copy; the amounts are not printed on the form (contact Vital Records). No fee if you only file without adding the father's name
Where to send it
- Mail to
- Vital Records Management P.O. Box 95065 Lincoln, NE 68509 Douglas County births: Vital Statistics Section, 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
- 1/2020
- Source
- Not provided