Current residential address is required; add a current mailing address if different from residential address.
Interstate - Non-Excepted: must provide DMV with current medical examiner's certificate (card - NOT long form) and keep current with DMV.
Intrastate - Non-Excepted: when on-duty must have medical examiner's certificate on person - NOT required to provide DMV with current medical examiner's certificate.
Excepted categories: Interstate - Excepted and Intrastate - Excepted are subject to DMV medical/vision requirements - answer questions #5-#7.
Register to vote: you only need to re-register if you have changed your name, or political party.
| Question | Answer |
|---|---|
| Form Name | DMV 06-105 |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 6 min |
| Edition | 4/2022 |
| Other names | DMV 06-105, 06-105, DL-80CD, CLP and CDL Data Form, CDL Data Form, Nebraska DMV data form |
| Official source | DMV 06-105 (4/2022), Nebraska DMV |
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