If you have a business and you're thinking about hiring employees, you'll need to file Form Nsp455 with the Nebraska Department of Labor. This form provides information about your business and the positions you're trying to fill. It's important to complete this form accurately and completely, so that the Department can properly process your application. Filling out this form incorrectly can result in delays or even denial of your application. So be sure to read the instructions carefully and ask for help if you need it.
| Question | Answer |
|---|---|
| Form Name | Form Nsp455 |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | ne nsp motor vehicle, nebraska vehicle identification, nsp455, nebraska motor identification certificate |
NEBRASKA STATE PATROL
MOTOR VEHICLE IDENTIFICATION CERTIFICATE
VOID AFTER 90 DAYS
Section 1: TO BE COMPLETED BY STATE LAW ENFORCEMENT OFFICER ONLY Vehicle Identification Number (VIN)
State of Current Title ______________________ Title Number ________________________
Model Year _____________ Make __________________ Model _______________________
Does the VIN appear to have been altered or tampered with? |
Yes |
No |
||
Does the VIN agree with the supporting documents? |
Yes |
No |
||
Does the Federal Label agree with the Public VIN? |
Yes |
No |
||
Does the Federal Label agree with the supporting documents? |
Yes |
No |
Odometer Reading ______________________ Date of NCIC Check __________________
Remarks ______________________________________________________________________
This is to certify that I have made a physical examination of the above vehicle and its documents. I am an officer of a STATE POLICE AGENCY employed by the STATE of _______________.
Date_________ Name (please print)_____________________________________________
Badge No _________Title/Rank _________________________________________________
State Agency ___________________________________Work Phone ___________________
Signature __________________________________________________________
Section 2: TO BE COMPLETED BY APPLICANT
Effective August 31, 2003 there is a $10.00 processing fee.
Please include a check or money order made payable to the Nebraska State Patrol.
RETURN APPROVED CERTIFICATE TO:
Name ______________________________________ Phone ____________________________
Address ______________________________________________________________________
City ___________________________________ State _____________________ Zip _________
Section 3: Forward completed certificate to Nebraska State Patrol, Auto Fraud Division, 3800 NW 12th St., Lincoln, Ne., 68521. Certificate will be approved by the Nebraska State Patrol and returned to the address specified in section 2.
NEBRASKA STATE PATROL APPROVAL: |
|
NAME: ___________________________________ |
DATE:__________________ |
TITLE: ___________________________________ |
|
NSP455 (05/09) |
VOID AFTER 90 DAYS |
HOW DO I GET AN OUT OF STATE INSPECTION DONE?
For the convenience of people in the Military and those who purchase vehicles out of state, but retain Nebraska as their legal residence, an out of state inspection form has been designed. The inspection of the vehicle must be conducted by an officer of a state police agency or Provost Marshall and mailed to the Nebraska State Patrol along with a $10.00 processing fee for final approval. (Effective August 31, 2003 there will be a fee of $10.00 for processing of the Inspection form.) Upon approval by the Superintendent of the Nebraska State Patrol, the customer may obtain title in the county of his residence, provided the necessary evidence of ownership to the vehicle accompanies this inspection certification. This inspection shall be conducted on used vehicles titled in another state, which have been assigned to a Nebraska resident. This does not apply to vehicles purchased new when transfer is made on a manufacturer’s certificate of origin.
INSTRUCTIONS:
1.Have the Motor Vehicle Identification Certificate completed by an officer of a STATE police agency. The title or certified copy of the title must be present for comparison when the officer does the inspection.
2.Complete section 2 of the Certificate with the name and address of where the approved certificate should be returned and remit a check or money order for $10.00 made payable to the Nebraska State Patrol. Effective July 1, 2004 the inspection form will be void 90 days after date of section.
3.Mail original certificate with a photo copy of the title and $10.00 fee to:
Nebraska State Patrol
Auto Fraud Division
3800 NW 12th Street
Lincoln, NE 68521
4.Customer may obtain title in the county of residence upon receipt of approved completed Inspection Certificate.