"Application for Specialty Plates" - Nebraska

Application for Specialty Plates is a legal document that was released by the Nebraska Department of Motor Vehicles - a government authority operating within Nebraska.

Form Details:

  • Released on October 1, 2019;
  • The latest edition currently provided by the Nebraska Department of Motor Vehicles;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Nebraska Department of Motor Vehicles.

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Download "Application for Specialty Plates" - Nebraska

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Application for Specialty Plates
Instructions on the reverse side or check message availability at:
.
https://dmv.nebraska.gov/services
SPECIALTY PLATE OPTIONS
Registered Owner Information
(SEE REVERSE FOR PLATE IMAGES AND FEES)
SELECT
SELECT
Name:___________________________________________
MESSAGE PLATE
NUMERIC PLATE
Address:_________________________________________
BELOW:
BELOW:
Mountain Lion
City:_____________________________________________
Mountain Lion
Breast Cancer
5 characters allowed:
Choose Life
Breast Cancer
State: NE ZIP:_________________________________
Native American
Choose Life
Support Our Troops
Native American
Support Our Troops
Down Syndrome
Phone: ( _____ )_______________________________
Down Syndrome
The Good Life Is
Outside
The Good Life Is Outside
Vehicle Information
Big Horn Sheep
Big Horn Sheep
Sandhill Crane
Sandhill Crane
Please check vehicle type (chooses one):
Ornate Box Turtle
Ornate Box Turtle
Donate Life
Donate Life
Passenger (Pickup, SUV, Truck, RV)
Prostate Cancer
Prostate Cancer
Motorcycle/Autocycle
Sammy’s
Sammy’s Superheroes
Trailer (Mini Truck or Mobile Home)
Superheroes
Support The Arts
Support the Arts
Pets for Vets
VIN: _____________________________________________
Pets for Vets
County Passenger
County Passenger
County Farm/Commercial
REQUESTED MESSAGE
Current Plate Number: ________________________
County
Farm/Commercial
Title Number: __________________________________
County of Registration: ________________________
Motorcycle/Autocycle
County Number: ______________________________
6 characters allowed:
NOTE:
Motorcycle/Autocycle
NUMERIC PLATES ARE
County
If a resident of Douglas or Lancaster County,
Lessor: ________________________________________
ISSUED
Husker County
office location where plates will be picked up:
CONSECUTIVELY IN
THE ORDER
(SEE INSTRUCTION PAGE FOR PICK-UP
APPLICATIONS ARE
LOCATIONS)
RECEIVED.
Message Plate
Husker
7 characters allowed:
Husker
Special Interest –
Special Interest – single
single plate
plate
PLEASE RETURN YOUR APPLICATION WITH PAYMENT
TO:
Nebraska Department of Motor Vehicles
J
INDICATE REQUESTED MESSAGE AND MESSAGE MEANING BELOW:
Driver and Vehicle Records Division
1st Choice:
2nd Choice:
3rd Choice:
PO Box 94789
INDICATE R
Lincoln, NE 68509
Meaning:
Meaning:
Meaning:
Call 402-471-3918
Office Location:
301 Centennial Mall South
Rev. 1/21
Application for Specialty Plates
Instructions on the reverse side or check message availability at:
.
https://dmv.nebraska.gov/services
SPECIALTY PLATE OPTIONS
Registered Owner Information
(SEE REVERSE FOR PLATE IMAGES AND FEES)
SELECT
SELECT
Name:___________________________________________
MESSAGE PLATE
NUMERIC PLATE
Address:_________________________________________
BELOW:
BELOW:
Mountain Lion
City:_____________________________________________
Mountain Lion
Breast Cancer
5 characters allowed:
Choose Life
Breast Cancer
State: NE ZIP:_________________________________
Native American
Choose Life
Support Our Troops
Native American
Support Our Troops
Down Syndrome
Phone: ( _____ )_______________________________
Down Syndrome
The Good Life Is
Outside
The Good Life Is Outside
Vehicle Information
Big Horn Sheep
Big Horn Sheep
Sandhill Crane
Sandhill Crane
Please check vehicle type (chooses one):
Ornate Box Turtle
Ornate Box Turtle
Donate Life
Donate Life
Passenger (Pickup, SUV, Truck, RV)
Prostate Cancer
Prostate Cancer
Motorcycle/Autocycle
Sammy’s
Sammy’s Superheroes
Trailer (Mini Truck or Mobile Home)
Superheroes
Support The Arts
Support the Arts
Pets for Vets
VIN: _____________________________________________
Pets for Vets
County Passenger
County Passenger
County Farm/Commercial
REQUESTED MESSAGE
Current Plate Number: ________________________
County
Farm/Commercial
Title Number: __________________________________
County of Registration: ________________________
Motorcycle/Autocycle
County Number: ______________________________
6 characters allowed:
NOTE:
Motorcycle/Autocycle
NUMERIC PLATES ARE
County
If a resident of Douglas or Lancaster County,
Lessor: ________________________________________
ISSUED
Husker County
office location where plates will be picked up:
CONSECUTIVELY IN
THE ORDER
(SEE INSTRUCTION PAGE FOR PICK-UP
APPLICATIONS ARE
LOCATIONS)
RECEIVED.
Message Plate
Husker
7 characters allowed:
Husker
Special Interest –
Special Interest – single
single plate
plate
PLEASE RETURN YOUR APPLICATION WITH PAYMENT
TO:
Nebraska Department of Motor Vehicles
J
INDICATE REQUESTED MESSAGE AND MESSAGE MEANING BELOW:
Driver and Vehicle Records Division
1st Choice:
2nd Choice:
3rd Choice:
PO Box 94789
INDICATE R
Lincoln, NE 68509
Meaning:
Meaning:
Meaning:
Call 402-471-3918
Office Location:
301 Centennial Mall South
Rev. 1/21
Message
County Message*
Down Syndrome Awareness Numeric
Down Syndrome Awareness Message
$40.00
Farm/Commercial
$5.00
$40.00
$40.00
County Message*
Husker Numeric
The Good Life is Outside Numeric
Good Life is Outside Message
Passenger
$70.00
$5.00
$40.00
$40.00
County Message*
Husker Message
Wildlife Conservation
Wildlife Conservation
Passenger - Husker
$70.00
Bighorn Sheep Numeric
Bighorn Sheep Message
$70.00
$5.00
$40.00
Mountain Lion Numeric **
Mountain Lion Message**
Wildlife Conservation
Wildlife Conservation
$5.00
$40.00
Sandhill Crane Numeric
Sandhill Crane Message
$5.00
$40.00
Breast Cancer Numeric
Breast Cancer Message
Wildlife Conservation
Wildlife Conservation
$5.00
$40.00
Ornate Box Turtle Numeric
Ornate Box Turtle Message
$5.00
$40.00
Choose Life Numeric
Choose Life Message
Donate Life Numeric
Donate Life Message
$5.00
$40.00
$5.00
$40.00
Native American Numeric
Native American Message
Prostate Cancer Awareness Numeric
Prostate Cancer Awareness Message
$5.00
$40.00
$5.00
$40.00
Special Interest ***
Message
Sammy’s Superheroes Numeric
Sammy’s Superheroes Message
(Single Plate, special use vehicle)
Motorcycle/Autocycle
$5.00
$40.00
$50.00
$40.00
County Message* Motorcycle/Autocycle
County Message*
Support The Arts Numeric
Support The Arts Message
$40.00
Motorcycle/Autocycle Husker
$5.00
$40.00
$70.00
Support Our Troops Numeric
Support Our Troops Message
Pets for Vets Numeric
Pets for Vets Message
$5.00
$40.00
5.00
40.00
*County Message Plates are available to residents of Douglas, Lancaster and Sarpy Counties only.
** Photo credit NEBRASKAland Magazine/Nebraska Game and Parks Commission.
Rev 01/21
***A special interest motor vehicle is a vehicle of any age being collected, preserved, restored, or maintained by the owner as a leisure pursuit and is not used
for general transportation of persons or cargo. Vehicles with Special Interest plates cannot be used for business or occupation or regularly for transportation to
and from work. Driven on public roads only for occasional transportation, public displays, parades and related pleasure and hobby activities.
Specialty Plate Application Instructions
Owner Information: Provide the name of the registered owner of the vehicle. If the vehicle is leased and not yet
registered, the registered owner is the lessee. For plates ordered as a gift, please attach to the application the name
of the person to contact if necessary and where the approval receipt should be sent.
Vehicle Information: The applicant must have a Nebraska issued title in their name for the vehicle, before being
processed. Two exceptions to this requirement are leased vehicles and non-resident military. For leased vehicles
the leasing company must have obtained a Nebraska title in their name for the vehicle and the applicant must
indicate the vehicle is leased and provide the name of the leasing company. Non-resident military must provide a
copy of vehicle’s current registration.
OFFICE LOCATIONS FOR PLATE PICK-UP
East
West
LANCASTER
625 North 46
Street
500 West “O” Street
th
Lincoln, NE 68503
Lincoln, NE 68528
North
South
Midtown
Millard
Maple
DOUGLAS
7414 N 30
S
4204 S 50
St
411 N 84
St
5730 S 144
St
15335 W Maple
th
th
th
th
Omaha, NE 68112
Omaha, NE 68117
Omaha, NE 68114
Omaha, NE 68137
Omaha, NE 68116
Selecting a Message
Make certain that each choice listed is acceptable to you. Your first available choice will be processed.
Messages that conflict with present numbering system or a valid set of plates currently registered will not be
Once your application has been processed your message choice cannot be changed.
processed. Due to the issuance of alpha/numeric plates in some counties messages containing three alpha
followed by three numeric characters (ABC 123) cannot be processed regardless of spacing.
Messages determined by the DMV to express, connote, or imply objectionable, obscene or offensive words or
phrases will be rejected or, if already issued, recalled and cancelled.
Message availability may be checked at:
Note: There is no guarantee when
a choice shows available that it is the message the applicant will receive.
https://dmv.nebraska.gov/services
with your application or it will be returned unprocessed. No refunds are allowed. A $30.00 processing fee is
Fee: A check or money order for the proper amount indicated on the front of this application must be included
assessed for all returned checks. Specialty plate renewal fees are due annually in the same month as the vehicle
registration. All renewal fees are paid to the County Treasurer Motor Vehicle Office. Note: If new plates are
registered to a vehicle in a month other than the month the vehicle’s current registration expires; the specialty
plate renewal fee will be required when the vehicle’s registration is due.
Approval: After the application has been processed an approval letter is sent to the applicant. The letter indicates
the approved message or indicates the number assigned if the application was for a consecutive number plate, the
date the plates will be available at the County Treasurer Motor Vehicle Office and their telephone number to verify
the Treasurer has received the plates. Current plates and registration must be surrendered when the specialty
plates are registered. Additional fees for production of the license plates and new registration will be charged.
Please allow 4 to 6 weeks for the plates to arrive at the County Treasurer Motor Vehicle Office.
Rev 01/21
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