Section 247-1-012 - PLEADINGS, FORM AND MAILING ADDRESS012.01Petition Form. The petition for an administrative license revocation is online at the Department's website: www.dmv.nebraska.gov or available from the Department (telephone: (402) 471-9593). Earlier versions of the petition are valid and may be used in lieu of the most current version. The petition must be legibly written on 81/2" x 11" paper and contain the following information:012.01A Appellant's name and date of birth;012.01B Appellant's complete current mailing address;012.01C Appellant's operator's license number and state of issuance;012.01D The grounds on which the Appellant is relying to prevent the revocation from becoming effective;012.01E A statement that the Appellant does not wish to apply for an ignition interlock device; and012.01F If appropriate, the name and complete address of the Appellant's attorney.Accompanying Documents. The petition must be accompanied by:
012.01G A photocopy of the temporary license; and012.01H All Nebraska or out-of-state operator's licenses.012.02Other Pleadings. All pleadings, aside from the Petition, shall be in a legible form on 81/2" x 11" paper showing the venue "Before the Director of the Department of Motor Vehicles". The caption shall be "In the Matter of the Administrative License Revocation Appeal of [NAME OF THE APPELLANT] and shall be entitled as applicable to each particular situation.012.03Mailing Address. The mailing address for pleadings is: Nebraska Department of Motor Vehicles, Legal Division, P.O. Box 94699, Lincoln, NE 68509-4699.247 Neb. Admin. Code, ch. 1, § 012
Amended effective 12/27/2022