Offical Nebraska Government Website

Complete list of all downloadable applications, forms, and reports
From the Department of Motor Vehicles

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Driver and Vehicle Records

Affidavit and Request for Certificate of Title for Abandoned Vehicle/ATV/Minibike/Motorboat (FOR LAW ENFORCEMENT ONLY)
Affidavit for Assembled ATV or Minibike
Affidavit for Self-Assembled Trailer
Affidavit for Storage and Non-Use
Affidavit for Transfer of Decedent's Vehicle/ATV/Minibike/Motorboat
Affidavit for Verification of Classic Assembled Motor Vehicle
Affidavit for Verification of Ownership of an ATV or Minibike
Affidavit for Verification/Transfer of Antique Motor Vehicle
Affidavit of Affixture for a Mobile Home with a Nebraska Certificate of Title
Affidavit of Detachment
Affidavit of Ownership by Repossession
Application for Copy of Driving Record
Application for Amateur Radio License Plate
Application for Assigned ID Number
Application for Boat Dealer Trailer License Plates
Application for Bonded Certificate of Title for a Motorboat
Application for Bonded Certificate of Title for a Vehicle
Application for Certificate of Title
Application for Copy of Vehicle Record
Application for Credit
Application for Disabled American Veteran License Plate
Application for Duplicate Certificate of Title
Application for Ex-Prisoner of War License Plates
Application for Handicapped License Plates
Application for Handicapped Parking Permit
Application for Historical License Plates
Application for More Than One Vehicle Record
Application for Multiple Driving Records
Application for Pearl Harbor Survivor License Plates
Application for Purple Heart License Plates
Application for Refund
Application for Reissuance of Certificate of Title for a Classic Assembled Motor Vehicle
Application for Release of Digital Image/Signature (FOR LAW ENFORCEMENT ONLY)
Application for Release of Notice on Bonded Title
Application for Revision - Operator's License/Permit/ID Card
Application for Self Insurance
Application for Snowmobile Registration and Decal
Application for Specialty Plates
Application for Transporter Plate
Application to Become a Qualified Car Club Representative
Application to Become a Recognized Car Club
Assigned ID Number Placement Instructions - HIN
Assigned ID Number Placement Instructions - VIN
Bill of Sale
Certificate of Title Surety Bond - Motorboat
Certificate of Title Surety Bond - Vehicle
Driver License Fees
Identity Theft/Criminal Impersonation Affidavit
Information for Inspection of Vehicles and Parts by a Qualified Car Club Representative
Inspection Exemption Certificate - DEALERS ONLY
Insurance Companies Authorized To Do Business In Nebraska
Nebraska Insurance Reporting Guide
Nebraska License Plates 2005-2010
Nebraska Motor Vehicle Registration Statistics 1913 - 2007
Notice of Owner-Retained Salvage
Odometer Disclosure Statement
Power of Attorney (General)
Purchaser's Affidavit - DEALERS ONLY
Qualified Car Club Representative Inspection Statement For Classic Assembled Motor Vehicles
Qualified Car Club Representative Listing
Recognized Car Club Listing
Request for Driver's License Number

 

Driver Licensing Services

AAA Sample Test
Address Verification Form
CDL Data Form
CDL manual
Class O Data Form
DOT Medical Examiner Report
Driver's Motor Vehicle Accident Report
English Drivers Manual
Lancaster Exam Detour
Motorcycle Manual
Out of State renewal data form
SCP/POP 50 Hour Certification
SCP/POP Log
Social Security Verification Form
Statement of Physician
US Based Proof of ID List
Under Age 18 Certification
Vision Statement
Voluntary Surrender Form
securityinitiatives,pdf
verificationdocuments

 

Highway Safety

 

CPS - Inventory Status Report
CPS - Inspection Station Application
CPS - Poster
CPS - Child Safety Inspection Station Application
CPS - Inspection Certification & Assurance
CPS - Inspection Stations in Nebraska
CPS - Inspection/Check Up Event Monthly Log
CPS - LATCH Manual Order Form
CPS - Registration Form
CPS - Technician Certification Class Application
CPS - Technician Training Information
Child Passenger Technician Training - Omaha
Grant Contract Proposal Application Guide
HS - Annual Report Template
HS - BAT Mobile Activity Report Form
HS - Breath Alcohol Supply Order Form
HS - Cash Report - Cash Request Template
HS - Don't Risk Your Child's Life Video Form
HS - Equipment Inventory Log Form
HS - Grant Contract Form
HS - Materials Order Form
HS - Mini-Grant Child Restraint Systems
HS - Mini-Grant Digital Camera
HS - Mini-Grant Preliminary Breath Tester (PBT)
HS - Mini-Grant Public Information and Education
HS - Mini-Grant Radar
HS - Mini-Grant Selective Overtime
HS - Mini-Grant Traffic Training
HS - Personal Service Breakdown Form
HS - Video Library Catalog
HS - Weekly Time Report Form
How Safe is Your Driving? Brochure (PDF)
How Safe is Your Driving? Brochure (WORD)
IIHS - Status Report - Motorcycle
Misc - Alcohol BAC Body Reaction
Misc - Speeding and Stopping Distances
NE Safety Belt Usage Rate NE vs. US
NE Alcohol-Related Crashes
NE Alcohol-Related Crashes Per 100 Million Miles
NE Alcohol-Related Crashes/Fatalities
NE Alcohol-Related Fatalities vs. All Fatalities
NE All Alcohol-Related Fatalities Per 100 Million Miles
NE All-Terrain Vehicle (ATV) Law
NE Animal Crashes By Type
NE Animal Reported Crashes
NE Bicycle Fatalities/Injuries 1982 - 2007
NE Bicycle/Motor Vehicle Crashes 1982 - 2007
NE Child Restraint & Safety Use Rates
NE Child Restraint Convictions
NE Child Safety Seat Usage
NE Children (Ages 0-10) Killed in Motor Vehicle Crashes
NE Children (Ages 0-15) Restraint Use
NE Convictions on Drivers Records
NE Cost Estimate for Alcohol-Related MV Crashes
NE Cost Estimate for Alcohol-Related Teen MV Crashes
NE Cost Estimate for Motor Vehicles Crashes
NE Cost Estimate for Motorcycle Crashes
NE Cost Estimate for Teens in MV Crashes
NE County Motor Vehicle Crash Data
NE County Youth Crash Data
NE DUI Arrests vs. Convictions
NE Drivers Involved in Mobile Phone Distraction Traffic Crashes
NE Driving Under the Influence Laws
NE Fatal Injury/Speed-Related Crashes
NE Highway Safety Advocates Agenda
NE History of Alcohol-Related Traffic Crashes
NE Interstate (Rural & Urban) Fatal Crashes & Fatalities
NE Interstate (Rural & Urban) Injury Crashes Only
NE Licensed Driver (Age 65-74) in Fatal & Injury Crashes
NE Licensed Driver (Age 75 & Older) in Fatal & Injury Crashes
NE Licensed Drivers (Age 65 & Older)
NE Licensed Drivers Age 65 and Older
NE Motor Vehicle Fatalities
NE Motor Vehicle Injuries
NE Motor Vehicle Licensed Drivers 1960 - 2008
NE Motor Vehicle Licensed Drivers 1982 - 2007
NE Motor Vehicle Licensed Drivers By County - 2007
NE Motor Vehicle Licensed Drivers By County - 2008
NE Motor Vehicle Licensed Drivers By Type - 2007
NE Motor Vehicle Licensed Drivers by Type - 2008
NE Motor Vehicle Registrations
NE Motor Vehicle Registrations since 1913
NE Motor Vehicle Train Crashes
NE Motorcycle Fatalities
NE Motorcycle Fatalities & Registrations
NE Motorcycle Fatalities Per 10,000 MC Registrations
NE Motorcycle Fatalities and Injuries
NE Motorcycle Helmet Observed Usage Rates
NE Motorcycle Licensed Drivers
NE Motorcycle Licensed Operators (All Ages vs. 20 and Under)
NE Motorcycle Registrations
NE Motorcycle Registrations vs. Licensed Drivers
NE Motorcycle Statistics
NE Motorcycle Training Course Totals
NE Observed Use Rates by County
NE Priority County Crash Rate Chart
NE Rural Interstate Fatal Crashes & Fatalities
NE Rural Interstate Injury Crashes Only
NE Safety Belt Use in MV Crashes 2008
NE Safety Belt Facts 2007
NE Safety Belt Usage Rate vs Death Rate
NE Safety Belt Usage Rates 1985 - 2008
NE Safety Belt Usage Rates by County
NE Safety Belt Use in MV Crashes 2007
NE Safety Belts Used vs. Not Used in Motor Vehicle Crashes
NE School Permit Drivers 1999 - 2008
NE School Permit Drivers by County for 1999 - 2008
NE Teen Alcohol-Related Crashes Per 100 Million Miles
NE Teen All Crashes Per 100 Million Miles
NE Teen Cell Phone Related Crashes
NE Teen Driver Facts 2007
NE Teen Drivers (Age 14-15) Fatalities and Injuries Involved in Motor Vehicle Crashes
NE Teen Drivers (Age 14-5) Crashes 1999 - 2007
NE Teen Drivers (Age 15-18) All Crashes vs Injury Crashes
NE Teen Drivers (Age 15-19) Alcohol-Related Crashes
NE Teen Drivers (Age 15-19) Mobile Phone Distractions in Traffic Crashes
NE Teen Drivers (Age 16) in Crashes
NE Teen Drivers (Age 16-19) vs. All Drivers
NE Teens (Age 16-17) Fatal & Injury Crash - GDL
NE Teens (Age 18-19) Fatal & Injury Crash - GDL
NE Traffic Crash Incidence and Severity
NE Traffic Fatalities vs. Fatal Crashes
NE Traffic Fatality History since 1936
NE Urban Interstate Fatal Crashes & Fatalities
NE Urban Interstate Injury Crashes Only
NE Young Drivers (16-20) Involved in Alcohol-Related MV Crashes
NE Young Drivers (16-20) Involved in MV Crashes
NE Young Drivers (Age 20 & 16-20) All Fatal & Injury Crashes (GDL)
NHTSA - Low-Staffing Sobriety Checkpoints
NHTSA - Nighttime Seat Belt Enforcement
NHTSA Traffic Safety Facts: Alcohol-Impaired Driving
NHTSA Traffic Safety Facts: Bicycle Helmet Use
NHTSA Traffic Safety Facts: Bicyclist and Other Cyclist
NHTSA Traffic Safety Facts: Children
NHTSA Traffic Safety Facts: High Bac Laws
NHTSA Traffic Safety Facts: Large Trucks
NHTSA Traffic Safety Facts: Motorcycle
NHTSA Traffic Safety Facts: Motorcycle Helmet Use Laws
NHTSA Traffic Safety Facts: Motorcycle Operators Killed by License Status
NHTSA Traffic Safety Facts: Occupant Protection
NHTSA Traffic Safety Facts: Older Population
NHTSA Traffic Safety Facts: Overview
NHTSA Traffic Safety Facts: Pedestrian
NHTSA Traffic Safety Facts: School Transportation-Related Crashes
NHTSA Traffic Safety Facts: Speeding
NHTSA Traffic Safety Facts: State Alcohol-Impaired Driving
NHTSA Traffic Safety Facts: State Traffic Data
NHTSA Traffic Safety Facts: Young Drivers
NOHS Policy and Procedures Management Manual
NOYS Act Out Loud Teen Flyer
NOYS Membership Letter
NOYS Non Teen Audience Text for Newsletter
NOYS Press Release Sample
NOYS Teen Audience Text for Newsletters
Nebraska Citizen Reexamination Report
Nebraska Annual Report FY2007
Nebraska Annual Report FY2008
Nebraska Child Safety Seat Survey 2007
Nebraska Child Safety Seat Survey 2008
Nebraska Highway Safety Plan FY2007
Nebraska Highway Safety Plan FY2008
Nebraska Highway Safety Plan FY2009
Nebraska Highway Safety Plan FY2010
Nebraska Seat Belt Survey 2007
Nebraska Seat Belt Survey 2008
Norfolk Motorcycle Course 2009
Special Issue: Teenage Drivers - When Parents Are Watching
TSF - Child Restraint Use in 2006 - Overall Results
TSF - Florida's Motorcycle Helmet Law Repeal
TSF - Seat Belt Use in 2007 - OverallResults
TSF - Seat Belt Use in 2008 - Use Rates
You Drink & Drive. You Lose. Activity Summary
You Drink & Drive. You Lose. Letter
You Drink & Drive. You Lose. Media Schedule
You Drink & Drive. You Lose. Mini-Grant
You Drink & Drive. You Lose. Packet Cover
You Drink & Drive. You Lose. State Resources

 

Information Systems

 

Report - DMV Information and Technology Plan 2002

 

Motor Carrier Services

 

Affidavit for Lost, Stolen or Destroy
Application for Replacement Credentials
IFTA Additional Decal Application
IFTA Decal Inventory Sheet
IRP Supplemental Application
IRP-IFTA Combined Application
Individual Vehicle Distance Report
Lease Termination Agreement
Notice of Record-Keeping Requirements
UCR Application 2008
UCR Application 2009
UCR Instructions 2008
UCR Instructions 2009

 

Administrative Division

 

Report - DMV 2001 Annual Report
Report - DMV 2002 Annual Report
Report - DMV 2003 Annual Report
Report - DMV 2004 Annual Report
Report - DMV 2005 Annual Report
Report - DMV 2006 Annual Report
Report - DMV 2007 Annual Report
Report - DMV 2008 Annual Report

 

Financial Responsibility

 

Affidavit of Dormancy
Affidavit of Lost License
Application for EDP
Application for EDP for Support
Application for MHP
Installment Agreement Form
Installment Agreement Form for Unsatisfied Judgment
Interactive Letter of Verification
Petition
Printable Letter of Verification
Release Form for No Claims Filed
Release Form for One/Two Year Affidavit
Release Form for Parent / Guardian of a Minor
Release Form for Property Damage/Injury

 



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