OutdoorNebraska

NEBRASKA TURKEY APPLICATION NEBRASKA TURKEY APPLICATION Instruction: Check all applicable boxes and provide information as requested. Submitting incomplete information will result in the return of your application. Make checks payable to Nebraska Game and Parks and enclose the appropriate fee with your application. Mail to: Nebraska Game and Parks Commission, PO Box 30370, Lincoln, NE 68503-0370. May be photo copied as needed. Applications also may be made at OutdoorNebraska.org. Permit Resident __ Spring turkey . . . . . . . . . . . $30 __ Youth spring turkey . . . . . . . . . $8 __ Fall turkey . . . . . . . . . . . . . $30 __ Youth fall turkey. . . . . . . . . . . $8 Nonresident __ Spring turkey . . . . . . . . . . . $128 __ Youth spring turkey . . . . . . . . . $8 __ Fall turkey . . . . . . . . . . . . . $128 __ Youth fall turkey. . . . . . . . . . . $8 All permit prices include a $3 issuing fee, except Habitat Stamp. __ Habitat Stamp. . . . . . . . . . . $25 ☐ ☐ I certify that I am a RESIDENT of the State of Nebraska as defined by the rules and regulations of the Nebraska Game and Parks Commission. ☐ ☐ I certify that my privilege to hunt, fish or harvest fur is NOT currently revoked in any state, Hair Color Eye Color Ft. In. Weight Month Day Year Sex Height Date of Birth First Name Middle Initial Last Name City Address State ZIP Code Daytime Phone Number Last 4 Digits of Social Security No. Archery Education Number – State Certified Firearm Hunter Education Number – State Certified Yes No Signature of Applicant Date of Application Daytime Phone (8am-5pm) Yes q No q I certify that my privilege to hunt, fish or harvest fur is NOT currently revoked in any state, and I am NOT delinquent on any child support payments. is is to certify that the above veteran is currently rated: Certification of 50 percent or total disability 1 & 2 must be signed by the Veteran's Service Center Manager. Disabled permits have no expiration date and are valid as long as the individual remains a resident of Nebraska, and meets the disability guidelines. 1. q Is rated by the United States Department of Veterans Affairs as fi¡y percent or more disabled as a result of service in the armed forces of the United States; 2. q Receive a pension from the Veterans Administration as a result of total and permanent disability. Not incurred in the line of duty in military service. - (NO FEE REQUIRED) A veteran who is a resident of Nebraska shall, upon application and without payment of any fee, be issued one disabled veteran permit for a resident motor vehicle. All disabled veteran permits issued shall became void upon termination of eligibility. Send to: U.S. Department of Veterans Affairs 3800 Village Dr. Lincoln, NE 68516-4737 Phone: 800-827-1000 OR 3. q Is 64 years of age or older with time in service. - $5.00 Permit Fee - (Annual Renewal Required) 4. q RENEWAL - $5.00 Permit Fee Verification of veteran 64 years of age or older certified by: ______________________________________________________________________ Signature – Veteran's Service Officer First time applicants: must attach a legible copy of their DD214 or driver's license with a Veteran Indicator. If a DD214 is not attached, a signature from a Veteran Service Center manager is needed. Applicant's birth date and social security number must be verified. is permit will expire on December 31 of each calendar year, and must be renewed each year for a fee of $5.00. Residency must be maintained. is permit includes State stamps. Return to: Nebraska Game and Parks Commission, Attention: Permit Section, PO Box 30370, Lincoln, NE 68503-0370 If paying by credit card please provide the following information: Card Holder's First Name Last Name Address City State ZIP Code _________/_________/________/_________ ________________ _________ Credit Card Number - Visa, MasterCard or Discover Expiration Date 3-digit code 3-digit card verification number on back of card ' q In addition to my Lifetime Disabled Veteran permit I would like a free Nebraska Resident Disabled Veteran Lifetime Park Entry Permit. q I have a Lifetime Disabled Veteran permit #________________________and would like a free Nebraska Resident Disabled Veteran Lifetime Park Entry Permit. ________________________________________________________________________ Signature – Veteran's Service Center Manager INSTRUCTIONS: Check all applicable boxes and provide information as requested. Submitting incomplete information will result in the return of this application. Make checks payable to Nebraska Game and Parks and enclose the appropriate fee with the application. Mail to: Nebraska Game and Parks Commission, P.O. Box 30370, Lincoln, NE, 68503-0370. May be photocopied as needed. Applications also may be made at OutdoorNebraska.org. NEBRASKA TURKEY APPLICATION Instruction: Check all applicable boxes and provide information as requested. Submitting incomplete information will result in the return of your application. Make checks payable to Nebraska Game and Parks and enclose the appropriate fee with your application. Mail to: Nebraska Game and Parks Commission, PO Box 30370, Permit Resident __ Spring turkey . . . . . . . . . . . $30 __ Youth spring turkey . . . . . . . . . $8 __ Fall turkey . . . . . . . . . . . . . $30 __ Youth fall turkey. . . . . . . . . . . $8 Nonresident __ Spring turkey . . . . . . . . . . . $109 __ Youth spring turkey . . . . . . . . . $8 __ Fall turkey . . . . . . . . . . . . . $109 __ Youth fall turkey. . . . . . . . . . . $8 All permit prices include a $3 issuing fee, except Habitat Stamp. __ Habitat Stamp. . . . . . . . . . . $25 3-digit card verification number on back of card ☐ ☐ I certify that I am a RESIDENT of the State of Nebraska as defined by the rules and regulations of the Nebraska Game and Parks Commission. ☐ ☐ I certify that my privilege to hunt, fish or harvest fur is NOT currently revoked in any state, and I am NOT delinquent on any child support payments. Hair Color Eye Color Ft. In. Weight Month Day Year Sex Height Date of Birth First Name Middle Initial Last Name City Address State ZIP Code Daytime Phone Number Last 4 Digits of Social Security No. Archery Education Number – State Certified Firearm Hunter Education Number – State Certified Credit Card # – VISA or MasterCard Only Card Expiration Date/Verification # see illustration Yes No Email address of applicant for permit notification: NEBRASKA TURKEY APPLICATION Instruction: Check all applicable boxes and provide information as requested. Submitting incomplete information will result in the return of your application. Make checks payable to Nebraska Game and Parks and enclose the appropriate fee with your application. Mail to: Nebraska Game and Parks Commission, PO Box 30370, Lincoln, NE 68503-0370. May be photo copied as needed. Applications also may be made at OutdoorNebraska.org. Permit

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