5-003.04 Form of Petition

A petition for declaratory order shall be in the form of either a pleading or letter which shall contain each of the following:

1. A caption, which shall include -
   1. The venue: BEFORE THE DEPARTMENT OF SOCIAL SERVICES, STATE OF NEBRASKA;
   2. A heading specifying the subject matter and the name of the petitioner; and
   3. The name of the pleading: PETITION FOR DECLARATORY ORDER.
2. The statements required in 465 NAC 5-003.05;
3. The signature of the petitioner, or when represented by an attorney, the signature of the attorney;
4. The name and address of the petitioner, and when represented by an attorney, the name, address, telephone number, and bar number of the attorney;
5. Size and Paper: The petition shall be made on white, letter-sized (8-1/2" x 11") paper;
6. Print: The petition shall be legibly typewritten, photostatically reproduced, printed, or handwritten. If handwritten, the petition must be written in ink. Only one side of a page shall contain any writing;
7. Attachments: Any documents attached to a petition shall be securely fastened to the pleading and shall meet the requirements of 465 NAC 5-003.04 (5) and (6) and, when possible, be reproduced on 8-1/2" x 11" paper or placed in an 8-1/2" x 11" envelope and clearly marked as an attachment to the petition.