Official state forms
Nebraska vital records forms
Applications issued by the Nebraska vital records office, plus the forms of counties and cities that process requests locally. Every PDF is the current official version, checked against the source.
Last verified November 9, 2026
Statewide forms
| Form | Record | Actions |
|---|---|---|
Nebraska Death Certificate Application (Form HHS-92)Form HHS-92 · Form HHS-92 is the application to order a certified copy of a Nebraska death certificate. It is filed with the Nebraska Department of Health and Human Services, Office of Vital Records. | Death |
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