This affidavit is to be used by the custodian of medical records to certify that records obtained by the attorney regarding the client's treatment are true and correct copies.
Nebraska Affidavit of Custodian of Medical Records
State:
Multi-State
Control #:
US-PI-0007
Format:
Word;
Rich Text
Instant download
Description
How to fill out Affidavit Of Custodian Of Medical Records?
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Supreme Court Justices Michael G. Heavican, Chief Justice. Room 2214, State Capitol. Lincoln, NE 68509. ... Stephanie F. Stacy. District: 1. ... Lindsey Miller-Lerman. District: 2. Room 2222, State Capitol. ... William B. Cassel. District: 3. ... Jonathan J. Papik. District: 4. ... Jeffrey J. Funke. District: 5. ... John R. Freudenberg. District: 6.
Supreme Court YearTotalAppointed by RepublicansCurrent962021962017942013956 more rows
Current Members John G. Roberts, Jr., Chief Justice of the United States, ... Clarence Thomas, Associate Justice, ... Samuel A. Alito, Jr., Associate Justice, ... Sonia Sotomayor, Associate Justice, ... Elena Kagan, Associate Justice, ... Neil M. Gorsuch, Associate Justice, ... Brett M. Kavanaugh, Associate Justice,
In order to obtain Letters Testamentary, an interested party (typically the nominated executor under the will) must petition the Surrogate's Court and provide pertinent information regarding the decedent, relevant parties (spouse, children, etc.), and the decedent's assets.
Justices OfficeNameDate assumed officeNebraska Supreme Court District 1Stephanie StacySeptember 28, 2015Nebraska Supreme Court District 2Lindsey Miller-LermanSeptember 1, 1998Nebraska Supreme Court District 3William CasselNebraska Supreme Court District 4Jonathan Papik20183 more rows
Judges' Information Chief District JudgeBrian C. BuescherUnited States District JudgeOmahaJoseph F. BataillonSenior United States District JudgeOmahaSusan M. BazisUnited States Magistrate JudgeOmahaMichael D. NelsonUnited States Magistrate JudgeOmaha12 more rows
This form is often used where due to the expected absence of a parent another is authorized to consent to medical treatment, enrollment in school, or other academic or athletic programs, etc. This power of attorney is called a Temporary Delegation of Parental Powers and is limited to a six-month period.
