Nebraska Divorce Certificate Amendment Application (HHS-83)
Official state formCorrections and amendmentsForm HHS-83Free downloadLast verified November 10, 2026
Application to correct items on a Nebraska divorce (dissolution) certificate. The date and place can be corrected only with written authorization of the person who granted the divorce. Mail it to the Nebraska Vital Records office.
Who can use this form
- Petitioner
- Respondent
- Clerk of the District Court
What to send with it
- Notarized application
- Documentary evidence: 1 item within the first year, 2 or more after (originals or certified copies; no affidavits of personal recollection)
- Photocopy of the applicant's photo ID
- Exact fee and a stamped self-addressed business-size envelope
Where to send it
- Mail to
- Vital Records Office P.O. Box 95065 Lincoln, NE 68509-5065
- State fee
- $16.00 to correct the record; $16.00 per certified copy of the amended record
- Typical processing
- Not provided
- Form revision
- 6/21
- Source
- Official government page