Attachment A- Nebraska Licensed Vehicle Annual Park Entry Permit Example.pdf
PDF 269 KB Posted
- Attached to
- Printing of Annual and Duplicate Park Permits for the State of Nebraska and Non-Nebraska Licensed Vehicles
- Solicitation number
- 124023 OR
- Issued by
- Blaine County, Nebraska
About this file
This file is an example permit document and sales register from the Nebraska Game and Parks Commission detailing the Nebraska Licensed Vehicle Annual Park Entry Permit system. The permit booklets contain 52 individual permits valid for Nebraska-licensed vehicles from January 1 through December 31 of the designated year. Each permit must be permanently affixed to the lower left-hand corner of a vehicle's windshield (driver side) or to a readily visible area of the frame for vehicles without windshields. The permits grant access to areas where such permits are required but convey no other privileges, services, facilities, or activities requiring separate fees. Permit agents receive consigned books for distribution and are prohibited from transferring books or replacing permits outside of Game and Parks Commission authorization. Monthly remittance of all funds collected from permit sales is required, with permit books to be returned when empty or at the end of the calendar year.
The permit carries an issuing fee of $1.00 per permit, with books numbered sequentially and tracked through a sales register requiring agents to record permit number, date issued, buyer information, birth year, zip code, and issuing agent details. Customers may obtain one duplicate permit for each annual permit purchased by presenting an Application for Duplicate Permit to an authorized permit agent and paying the applicable duplicate fee. The document includes application instructions for both windshield and non-windshield vehicle installations and specifies that accounts failing to remit funds after special notice will be closed with no further books issued. Duplicate permits may also be obtained by mailing a completed application and fee to the Game and Parks Commission at P.O. Box 30370, Lincoln, Nebraska 68503.
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Text version
Permit Agent
Address
City County ID Number
20XX
Fee: Issuing Fee: $1.00
NEBRASKA LICENSED VEHICLE
ANNUAL PARK ENTRY PERMIT
Book No.
Permit No. to
$ ( ) Permits Issued
$ ( ) Permits Remaining
_ (52)
ATTENTION PERMIT AGENTS
DO NOT DESTROY THIS BOOK, return to the Game and Parks Commission when empty or at the end of the calendar year.
1. This book of Nebraska Licensed Vehicle Annual Park Entry Permits is consigned to your account. Do not transfer.
2. You may not replace a permit for any reason. See your handbook for replacements possible through the Game and Parks Commission.
3. These permits are valid for Nebraska licensedvehicles from Jan.1 through December 31 of the year shown. The permit must be permanently affixed to the inside, lower left-hand corner of the windshield (driver side). For vehicles without a windshield, it must be permanently affixed to a readily visible area of the frame.
4. Park Entry Permits allow access to any area where such a permit is required. It conveys no other privilege or right. It does not entitle the driver or occupants to any service, facility or activity for which a separate fee is required. Signs are posted at the entrance to all areas where such permit is necessary.
5. Do NOT detach the Application for Duplicate Permit when issuing the Annual Permit. Customers may obtain one (1) duplicate permit for each Annual Permit purchased by presenting the Application for Duplicate Permit to a Permit Agent who is authorized to sell duplicate park entry permits and pay the applicable duplicate permit fee.
6. Permit books from which all permits, stamps, or park entry permits have been issued are to be returned each month with the monthly remittance report.
7. All funds from the sale of these permits must be remitted monthly to the Game and Parks Commission. Any account that does not remit after a special notice is sent to them will be closed and no further books sent.
NEBRASKA GAME AND PARKS COMMISSION
02-09-2021 tmr
Number each book in sequential order.
NGPC
Text Box
SAMPLE OF OUTSIDE FRONT COVER
NGPC
Text Box beginning number here
NGPC
Text Box ending number here
NGPC
Typewritten Text Attachment A
NEBRASKA LICENSED VEHICLE
ANNUAL PARK PERMIT SALES REGISTER
PERMIT DATE ISSUED BUYER BUYER
NUMBER ISSUED BY BIRTH YEAR ZIP CODE
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Agents are requested to complete ALL columns on this Sales Register.
NGPC
Text Box
SAMPLE OF INSIDE FRONT COVER
AGENTS
Detach here and give to purchaser
Application for Duplicate Permit
20XX NEBRASKA
LICENSED VEHICLE
ANNUAL PARK ENTRY PERMIT
Do NOT remove from backing
Name_ ___________________________
Address___________________________
City______________________________
State_________________ ZIP__________
DOB_ ____________________________
Agent_ _______________Date_________
________________________________2021 Nebraska Licensed Vehicle Annual Park Entry Permit
OutdoorNebraska.org
Ch ad ro n
St at e Pa rk
2021 Nebraska Licensed Vehicle Annual Park Entry Permit
OutdoorNebraska.org
Ch ad ro n
St at e Pa rk
2021 Nebraska Licensed Vehicle Annual Park Entry Permit
OutdoorNebraska.org
Ch ad ro n
St at e Pa rk
2021 Nebraska Licensed Vehicle Annual Park Entry Permit
OutdoorNebraska.org
Ch ad ro n
St at e Pa rk
PERMIT SAMPLE
AGENTS
Detach here and give to purchaser
AGENTS
Detach here and give to purchaser
AGENTS
Detach here and give to purchaser
Application for Duplicate Permit
20XX NEBRASKA
LICENSED VEHICLE
ANNUAL PARK ENTRY PERMIT
Do NOT remove from backing
Name_ ___________________________
Address___________________________
City______________________________
State_________________ ZIP__________
DOB_ ____________________________
Agent_ _______________Date_________
Application for Duplicate Permit
20XX NEBRASKA
LICENSED VEHICLE
ANNUAL PARK ENTRY PERMIT
Do NOT remove from backing
Name_ ___________________________
Address___________________________
City______________________________
State_________________ ZIP__________
DOB_ ____________________________
Agent_ _______________Date_________
Application for Duplicate Permit
20XX NEBRASKA
LICENSED VEHICLE
ANNUAL PARK ENTRY PERMIT
Do NOT remove from backing
Name_ ___________________________
Address___________________________
City______________________________
State_________________ ZIP__________
DOB_ ____________________________
Agent_ _______________Date_________
PERMIT SAMPLE
PERMIT SAMPLE
PERMIT SAMPLE
12345671 12345671
12345672 12345672
12345673 12345673
12345674 12345674
12345671
12345672
12345673
12345674
COUPON FORM
"Stub"
PURCHASER
To obtain a Duplicate Park Entry Permit for an additional vehicle, please present a completed Application for Duplicate Permit along with the appropriate fee to any Nebraska Game and Parks Commission office or mail to:
Game and Parks Commission, P.O. Box 30370, Lincoln, NE 68503. One Duplicate Permit is allowed for each Annual Permit you purchase.
APPLICATION INSTRUCTIONS
FOR VEHICLE WITH WINDSHIELD
1. Remove protective liner from adhesive strip on face of the permit.
2. Affix to lower left-hand corner of the windshield (drivers side).
FOR VEHICLE WITHOUT WINDSHIELD
1. Remove permit from protective liner.
2. Affix to bumper or other highly visible area on frame of vehicle.
APPLICATION INSTRUCTIONS
FOR VEHICLE WITH WINDSHIELD
1. Remove protective liner from adhesive strip on face of the permit.
2. Affix to lower left-hand corner of the windshield (drivers side).
FOR VEHICLE WITHOUT WINDSHIELD
1. Remove permit from protective liner.
2. Affix to bumper or other highly visible area on frame of vehicle.
APPLICATION INSTRUCTIONS
FOR VEHICLE WITH WINDSHIELD
1. Remove protective liner from adhesive strip on face of the permit.
2. Affix to lower left-hand corner of the windshield (drivers side).
FOR VEHICLE WITHOUT WINDSHIELD
1. Remove permit from protective liner.
2. Affix to bumper or other highly visible area on frame of vehicle.
APPLICATION INSTRUCTIONS
FOR VEHICLE WITH WINDSHIELD
1. Remove protective liner from adhesive strip on face of the permit.
2. Affix to lower left-hand corner of the windshield (drivers side).
FOR VEHICLE WITHOUT WINDSHIELD
1. Remove permit from protective liner.
2. Affix to bumper or other highly visible area on frame of vehicle.
PURCHASER
To obtain a Duplicate Park Entry Permit for an additional vehicle, please present a completed Application for Duplicate Permit along with the appropriate fee to any Nebraska Game and Parks Commission office or mail to:
Game and Parks Commission, P.O. Box 30370, Lincoln, NE 68503. One Duplicate Permit is allowed for each Annual Permit you purchase.
PURCHASER
To obtain a Duplicate Park Entry Permit for an additional vehicle, please present a completed Application for Duplicate Permit along with the appropriate fee to any Nebraska Game and Parks Commission office or mail to:
Game and Parks Commission, P.O. Box 30370, Lincoln, NE 68503. One Duplicate Permit is allowed for each Annual Permit you purchase.
PURCHASER
To obtain a Duplicate Park Entry Permit for an additional vehicle, please present a completed Application for Duplicate Permit along with the appropriate fee to any Nebraska Game and Parks Commission office or mail to:
Game and Parks Commission, P.O. Box 30370, Lincoln, NE 68503. One Duplicate Permit is allowed for each Annual Permit you purchase.
NGPC
Text Box Backside of permit decals, printed on back of liner.
File details come from the government source that posted it. Updated .