Nebraska Permit Application Form DMV 06-104: Completion, Signatures and Error Corrections

The official Nebraska DMV permit application form is Form DMV 06-104, titled the 'New, Renewal, and Replacements Permit, Class O (Car), Class M (Motorcycle) and State ID Card Data Form.' This single document is used for first-time Learner's Permit (LPD), School Permit (SCP), and Provisional Operator's Permit (POP) applications.

Where Do You Get Nebraska DMV Form 06-104 and How Do You Fill It Out?

The current Nebraska form for a new, renewed, or replacement permit/Class O/Class M/State ID is DMV 06-104. You may download and complete it before the office visit or fill it out at the driver licensing office.

• Download: Use the official DMV 06-104 Data Form or the Spanish version.
• Identity details: Enter your legal name and address exactly as supported by your documents.
• Social Security: Disclose a valid SSN for verification, or use Nebraska's official exemption route if you are ineligible for an SSN.
• Signature: Sign the applicant attestation and complete any minor-consent section that applies.

Use the Document Verification Requirements for the supporting-document rules. Fee, permit-validity, and written-test details belong in their dedicated guides.

What if I downloaded an older version of Nebraska DMV Form 06-104? Use the current form from Nebraska DMV before you submit the application. If you already filled an older copy, transfer the information to the current version rather than assuming the office will accept an outdated form.

Is Nebraska DMV Form 06-104 available in Spanish? Yes. Nebraska DMV's forms page lists a Spanish Class O data form alongside the standard new, renewal, and replacement data form.

Parental Signatures on Nebraska DMV Permit Applications

Parents can assist in filling out the data on the Nebraska learner's permit form. The applicant must sign the attestation themselves.

• Applicant Signature: You sign to verify your identity, SSN, and address.
• Parent/Guardian Signature: A parent must sign the consent section, accepting financial liability for your driving.
• Witness Requirement: The parent should be present for the DMV examiner to witness their signature. If they cannot attend, their signature on the consent section must be notarized beforehand.

A family in Grand Island had their 3 PM appointment canceled at the West 2nd Street location because the parent's signature wasn't notarized.

For Nebraska permit process details, see the Nebraska permit guide.

Which parts of Nebraska DMV Form 06-104 does the applicant sign and which parts does the parent sign?

The applicant signs the applicant attestation. When minor consent is required, the parent or legal guardian signs the separate consent or liability section; the parent does not replace the applicant's own signature.

Correcting Errors on a Nebraska DMV Permit Application

Review the form before signing or submitting it. If you notice a mistake at the DMV counter, tell the examiner before the permit is issued so the record can be corrected.

If an error is discovered after the permit has been issued, the correction becomes a replacement/correction process. Follow the dedicated permit-error guidance for replacement documents, fees, and what to use while the corrected card is being mailed.

Nebraska Permit Application Form Examples

Use the current form from dmv.nebraska.gov rather than an older copy from an unofficial source.

Can I correct a mistake on Form 06-104 before submitting it?

Yes. Fix the mistake before signing or submitting the form and review the corrected entry with the examiner. If the permit has already been issued, the change becomes a permit correction or replacement rather than a simple form edit.