Form Center

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.
By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

CUSTOMER AUTHORIZATION FOR AUTOMATIC WITHDRAWAL

  1. Leave This Blank: