Online Permit For Deer Nebr Form – Fill Out and Use This PDF

Nebraska Game and Parks Commission

Application for Veteran’s Hunting/Fishing Permit

(Only Nebraska residents are eligible to apply)

PLEASE PRINT

33-084 / rev.10-2010

This permit when issued does not authorize commercial fishing; the hunting of deer, antelope, elk, bighorn sheep, wild turkey; fur harvest, or the taking of any species of fish or game on which the open season is limited to a restricted number of permits or to special permits for a restricted area or management unit. Veteran permits do not require State stamps.

For the purpose of obtaining a permit, I attest that I am a legal resident of the State of Nebraska, that I have served in the armed forces of the United States, and that I received an honorable or general (under honorable conditions) discharge and that the following is my true description.

______________________________________			_____________________		______________________
C File Number	(required for disability permits)		Branch of Service		Military Serial Number
________________________________________________				_________________________________
First Name	MI	Last Name		Social Security Number

______________________________________________________________________________________

Street/PO Box	City			State		Zip Code
_________________________	_________	__________	________		_______	____	____
Date of Birth MM/DD/YYYY	Hair Color	Eye Color	Height		Weight	Age	Sex
___________________________________ ______________________				(	) ________ - _________
Signature of Applicant	Date of Application				Daytime Phone (8am –5pm)

This is to certify that the above veteran is currently rated:

Certification of 50 percent or total disability 1 & 2 must be signed by the Veteran’s Service Center Manager.

Disabled permits have no expiration date and are valid as long as the individual remains a resident of Nebraska and meets the disability guidelines.

1.50 percent disabled as a result of service in the armed forces. - (NO FEE REQUIRED)

2.Receives a pension from the Veterans Administration as a result of total and permanent disability.

Not incurred in the line of duty in military service. - (NO FEE REQUIRED)

Send to:

	U.S. Department of Veterans Affairs
	3800 Village Dr. / PO Box 85816
	Lincoln, NE 68501-5816	___________________________________________
	Phone: 800-827-1000	Signature – Veteran’s Service Center Manager
	OR
3.	Is 64 years of age or older with time in service. -	$5.00 Permit Fee - (Annual Renewal Required)

4.Request duplicate permit. - $1.50 Duplicate Permit Fee

5.RENEWAL - $5.00 Permit Fee

Verification of veteran 64 years of age or older certified by: __________________________________________

Signature – Veteran’s Service Officer

Unless signed by a Veteran’s Service Officer, a veteran 64 years of age or older must enclose a copy of discharge that verifies service. First time applicants must provide a copy of their DD214. Applicant’s birth date and social security number must be verified. This permit will expire on December 31 of each calendar year, and must be renewed each year for a fee of $5.00. Residency must be maintained. This permit does not require State stamps. Return to:

Nebraska Game and Parks Commission, Attn: Permit Section, PO Box 30370, Lincoln, NE 68503-0370

If paying by credit card please provide the following information:

_________/_________/________/_________	_________________	__________________
Credit Card Number (Visa or MasterCard only)	Card Expiration Date	(Last 3 Digit Identifier)
		On Back of Credit Card