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.

Job Application


  1. 1. Personal Information
  2. 2. Position Information
  3. 3. Education
  4. 4. Employment History
  5. 5. References
  6. 6. Disclaimer & Signature
  • Personal Information

    1. Have you ever been convicted of a violation of the law other than a minor traffic violation?*

    2. Are you eligible to work in the United States?*