Nebraska Specialty Plates Form PDF Details

If you want to show off your Nebraskan pride with a specialty license plate, then it's time to get the process started. Nebraska Department of Motor Vehicles offers an array of special plates that allow you to express yourself while also displaying knowledge and support for various causes across the state. To obtain one of these plates, you must fill out a Special Plate Application form – and we’re here to help guide you through this straightforward process! Read on for more information about this form and some helpful tips on what each section requires.

QuestionAnswer
Form NameNebraska Specialty Plates Form
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namesnebraka specialty plates, nebraska speciality license plates pictures, specialty auto plates nebraska, nebraska specialty

Form Preview Example

Application for Specialty Plates

.

Instructions on the reverse side or check message availability at: https://dmv.nebraska.gov/services

Registered Owner Information

Name:___________________________________________

Address:_________________________________________

City:_____________________________________________

State: NE ZIP:_________________________________

Phone: ( _____ )_______________________________

Vehicle Information

Please check vehicle type (chooses one):

Passenger (Pickup, SUV, Truck, RV)

Motorcycle/Autocycle

Trailer (Mini Truck or Mobile Home)

VIN: _____________________________________________

Current Plate Number: ________________________

Title Number: __________________________________

County of Registration: ________________________

County Number: ______________________________

Lessor: ________________________________________

If a resident of Douglas or Lancaster County, office location where plates will be picked up:

(SEE INSTRUCTION PAGE FOR PICK-UP LOCATIONS)

PLEASE RETURN YOUR APPLICATION WITH PAYMENT TO:

SPECIALTY PLATE OPTIONS

(SEE REVERSE FOR PLATE IMAGES AND FEES)

 

 

SELECT

 

 

 

 

 

 

SELECT

 

 

 

 

 

 

 

 

MESSAGE PLATE

 

 

 

 

NUMERIC PLATE

 

 

 

 

BELOW:

 

 

 

 

 

 

BELOW:

- $5.00

 

Breast Cancer

 

- $40.00

 

 

Choose Life

 

 

 

5 characters allowed:

 

 

 

 

 

 

Mountain Lion

 

 

 

 

 

 

hoose Life

 

- $40.00

 

 

 

 

 

 

- $5.00

 

 

Mountain Lion

 

 

 

 

 

 

 

Breast Cancer

- $5.00

 

 

 

 

 

- $40.00

 

 

 

Down Syndrome

- $5.00

 

 

 

 

 

 

 

 

 

- $40.090

 

 

 

- $5.00

 

 

County Farm/Commercial - $40.00

 

 

Native American

- $5.00

 

 

The Good Life Is

 

Native American

 

-$40.00

 

Support Our Troops

 

 

Big Horn Sheep

 

 

 

 

 

- $5.00

 

 

 

 

 

 

 

 

 

 

- $40.00

 

 

 

 

 

 

 

 

Down Syndrome

 

 

 

 

 

Ornate Box Turtle

 

 

 

 

 

 

 

 

 

 

- $40.00

 

 

 

 

 

 

The Good Life Is Outside

 

 

 

Outside

 

 

 

 

- $5.00

 

Ornate Box Turtle

 

 

 

 

Donate Life

 

 

 

Donate Life

 

 

- $40.00

 

 

 

 

 

 

 

- $5.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Big Horn Sheep

- $5.00

 

Sandhill Crane

 

 

 

 

 

 

 

 

Sandhill Crane

 

 

 

 

 

 

 

- $40.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

- $40.00

 

 

Superheroes

 

 

 

 

 

 

 

Suppor The Arts

 

 

- $40.00

 

Suppor

 

the Arts

 

 

 

 

Vets Get

 

 

 

 

 

 

- $40.00

 

Prostate Cancer

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

- $.500

 

 

Prostate Cancer

 

- $40.00

 

Vets Get

 

- $5.00

 

 

Coun

 

 

 

 

 

 

 

 

 

 

 

 

 

- $5.00

 

Sammy’s Superheroes

 

 

 

Sammy’s

 

 

 

 

- $5.00

 

 

 

 

 

Pets - $40.00

 

 

 

 

 

 

Pets - $5.00

 

 

 

ty Passenger - $40.00

 

Husker

 

 

 

 

Support Our Troops - $70.00

 

- $70.00

 

 

 

 

 

 

 

Special Interest - $50

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

- (single plate)

 

 

 

 

 

6 characters allowed:

 

 

 

-$40.00

 

 

NOTE:

 

 

 

 

 

 

 

 

Motorcycle/Autocycle

 

NUMERIC PLATES ARE

 

 

 

 

- $40.00

 

 

 

 

 

APPLICATIONS ARE

 

 

Motorcycle/Autocycle

 

 

ISSUED

 

 

 

 

 

 

 

 

 

County

 

 

 

 

- $70.00

 

 

 

RECEIVED.

 

 

 

 

 

 

Husker County

 

 

 

 

 

 

 

 

THE ORDER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Husker

 

 

 

 

- $40.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7 characters allowed:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

-$70.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Message Plate

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

plate - $50.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Special Interest – single

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Nebraska Department of Motor Vehicles

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

J Driver and Vehicle Records Division

 

INDICATE REQUESTED MESSAGE AND MESSAGE MEANING BELOW:

PO Box 94789

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1st Choice:

2nd Choice:

 

3rd Choice:

Lincoln, NE 68509

 

INDICATE R

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

$5.00

Support Our Troops

Message $70.00

Vets Get Pets

Numeric 5.00

Vets Get Pets

Message 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

 

 

 

LANCASTER

 

 

 

East

 

West

 

625 North 46th Street

 

500 West “O” Street

 

LINCOLN, NE 68503

 

LINCOLN, NE 68528

 

 

 

DOUGLAS

 

 

North

South

Midtown

Millard

Maple

7414 N 30th S

4204 S 50th St

411 N 84th St

5730 S 144th St

15335 W Maple

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.

Once your application has been processed your message choice cannot be changed.

Messages that conflict with present numbering system or a valid set of plates currently registered will not be 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: https://dmv.nebraska.gov/services Note: There is no guarantee when a choice shows available that it is the message the applicant will receive.

Fee: A check or money order for the proper amount indicated on the front of this application must be included with your application or it will be returned unprocessed. No refunds are allowed. A $30.00 processing fee is 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