Fillable Form Drivers License Renewal in Nebraska
Drivers License Renewal in Nebraska is used by individuals under 21 who wish to renew their driver's license in Nebraska may fill this form 60 days prior to expiration as the license will not be valid until 10 days prior to 21st birthday, however, individuals over 21 may file a driver's license renewal.
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What is the Nebraska Driver’s License Renewal form?
Form DMV 06-104 or officially called the Nebraska Driver’s License Renewal form is issued by the Department of Motor Vehicles (DMV) office of Nebraska. It is used by the residents to renew their driver’s licenses.
The first step to renewing your Nebraska driver’s license is to fill out the Nebraska Driver’s License Renewal form.
Individuals who are under 21 years old can renew their driver’s licenses 60 days prior to their 21st birthday, as their licenses will expire on their 21st birthday. Newly issued driver’s licenses to them will not be valid until 10 days before their 21st birthday.
Individuals who are 21 years old and older can renew their driver’s licenses 90 days prior to the expiration date, which is their birthday in the fifth year after the issuance license.
In general, Nebraska’s DMV office sends postcards 30 days before the expiration of driver’s licenses.
How to fill out the Nebraska Driver’s License Renewal form?
The two-page Nebraska Driver’s License Renewal form requires your personal information. Follow the guide below to answer the form accurately:
Complete Information
Date of Birth asks your date of birth in the following format: Month, Day, Year.
Social Security Number asks for your unique nine-digit SSN.
Provide your full legal name in the following format: Last Name, First Name, Middle Initial, Suffix.
Provide your full Current Residential Address.
Provide your full Current Mailing Address if different from your Residential Address.
Provide your County Number.
In the Gender box, select “M” if you are a male and “F” if you are a female.
Provide your Height in Feet and Inches.
Provide your Weight.
Provide your natural Eye Color.
Provide your natural Hair Color.
Select your Race. You may select Black, White, American Indian, Asian or Pacific Islander, Hispanic, or Other if your race is not in the options.
For the purposes of complying with Neb. Rev. Stat. 60-484-04, you can attest if you are a citizen of the United States or not but have lawful status and agree to provide valid documentary evidence.
You may or may not answer the motor voter and veteran questions.
1A — Select “Yes” if you wish to register to vote as part of this application process. “No” if otherwise. You only need to register again if you have changed your name, address, or political party.
1A1 — Select your Party Affiliation. You can select Republican, Democratic, Libertarian, or Non-Partisan.
1A2 — Provide the Last Registration Address City, County, or State.
1B — Select “Yes” if you wish to have the word “Veteran” shown on the front of your operator’s license or state identification card. Doing so would show that you served in the armed forces of the United States. “No” if otherwise. To be eligible, you must register with the Nebraska Department of Veterans’ Affairs Registry.
You may also answer questions on organ and tissue donation.
2 — Select “Yes” if you wish to include your name in the Donor Registry of Nebraska and donate your organs and tissues at the time of your death. Select “No” if otherwise.
3 — Select “Yes” if you wish to receive any additional specific information regarding organ and tissue donation. Select “No” if otherwise.
4 — Select “Yes” if you wish to donate $1 to promote the Organ and Tissue Donor Awareness and Education Fund. Select “No” if otherwise.
Everyone except those who are applying for a state ID Card should answer the following questions:
5A — Select “Yes” if within the last three months you have lost voluntary control or consciousness. Then, provide the date. Select “No” if otherwise.
5B — Select “Yes” if within the last three months you have experienced vertigo or multiple episodes of dizziness or fainting. Select “No” if otherwise.
5C — Select “Yes” if within the last three months you have experienced disorientation. Select “No” if otherwise.
5D — Select “Yes” if within the last three months you have experienced seizures. Then, provide the date. Select “No” if otherwise.
5E — Select “Yes” if within the last three months you have experienced impairment of memory or memory loss. Select “No” if otherwise.
6A — Select “Yes” if you experience any condition which affects your ability to operate a motor vehicle due to loss or impairment of foot or leg. Select “No” if otherwise.
6B — Select “Yes” if you experience any condition which affects your ability to operate a motor vehicle due to loss or impairment of upper body strength. Select “No” if otherwise.
6C — Select “Yes” if you experience any condition which affects your ability to operate a motor vehicle due to loss or impairment of range of motion or mobility. Select “No” if otherwise.
6D — Select “Yes” if you experience any condition which affects your ability to operate a motor vehicle due to loss or impairment of hand or arm. Select “No” if otherwise.
6E — Select “Yes” if you experience any condition which affects your ability to operate a motor vehicle due to a neurological or neuromuscular disease. Select “No” if otherwise.
7 — Select “Yes” if since the issuance of your last license or permit your health or medical condition worsened. Select “No” if otherwise.
If you are applying for a school learner’s permit or a school permit, select “Yes” if your home or the school you attend is in a city of 5,000 or less. Select “No” if otherwise.
Affix your signature and provide the date of signing.
Submission
You have three options to submit your application
In-Person
Locate the nearest DMV office near you and submit the following documents:
A vision test will be conducted during the application. Renewal also has a $26.50 fee.
By Mail
An optometrist or an out-of-state driver license examiner should complete section B of the form.
You are also required to provide copies of the following documents:
Mail the documents to:
P.O. Box 94726
Lincoln, NE 68509
Or fax them to 402-471-4020
Online
Renewing your driver’s license online has conditions that you must meet:
Go to the official Nebraska DMV online services to apply online.
You will need to upload two documents that show your Nebraska address.
Lastly, pay $26.50 and a convenience fee using your card to process your application.