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This form should be completed by your physician and mailed to NE Dept of Motor Vehicles, Driver and Vehicle Records Division, Attn: Handicapped Parking Permits, PO Box 94789, Lincoln, NE 68509-4789. Do not bring the form to the City Offices.
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BICYCLE REGISTRATION FORM

  1. City of Fairbury

  2. BICYCLE REGISTRATION FORM

  3. NOTE:

    The City of Fairbury is only able to register bicycles for City of Fairbury residents

  4. Instructions:

  5. BICYCLE DESCRIPTION

  6. Leave This Blank:

  7. This field is not part of the form submission.