The Medical Hardship Driving Permit (MHP) is authorized by Nebraska State Statute 60-4,130.01 and it allows a MHP for individuals who have forfeited their regular driving privileges under the Nebraska Point System. The MHP is valid for 90 days, at the expiration of the permit, the driver may reapply for another permit in the same manner.

This permit can be used to drive from home or place of employment to a hospital, clinic, doctor’s office, or similar location and return. It cannot be used for shopping, probationary meetings or school.

The issuance of such permit is based upon meeting all appropriate requirements and certification that the use of the vehicle is required as part of one’s medical hardship and there is no reasonable alternative means of transportation.

To be eligible for the MHP

• You must be a Nebraska resident and have tested and been issued a license in any state.  Provisional Operator's Permit holders are not eligible for the MHP.
• Your driving privileges must be revoked under the Nebraska Point System.  
• Meet all other applicable reinstatement requirements for any other suspension or revocation actions on your Nebraska driving record.
• Cannot have your driving privileges removed in any other state/jurisdiction.

Requirements needed for authorization of the MHP

You must submit the following requirements to the Department of Motor Vehicles, 301 Centennial Mall South, P.O. Box 94877, Lincoln, NE 68509-4877 or fax to (402) 471-8288:

NOTE: Requirements cannot be submitted to your local Driver License Exam Station

• An Application For Nebraska Medical Hardship Driving Permit. A separate application must be completed for each physician.to either mail, fax or hand deliver to the address above.  
• Surrender your Nebraska operator's license/permit to the DOWNTOWN LINCOLN DMV OFFICE ONLY at 301 Centennial Mall South, Lincoln, NE or sign an affidavit of lost license if you no longer have possession of the license - which can be faxed to the number above. This does not apply if the license has expired.
• File Proof of Financial Responsibility (this is normally provided in the form of a SR-22 Certificate of Insurance).
  • By filing with the Department of Motor Vehicles, a written certificate of insurance from any insurance company duly authorized to do business in the State of Nebraska, certifying that there is in effect a motor vehicle liability policy for the benefit of the person required to furnish the proof of financial responsibility. The certificate of insurance is identified by form SR-22. We are not permitted to accept your policy or a binder as being the proper identification of your proof of financial responsibility.
  •  A Bond of a Surety Company duly authorized to transact business within the State of Nebraska or a bond with at least two individual sureties who each own real estate within the State of Nebraska which real estate shall be scheduled in the bond approved by a Judge or a court of record. This said bond shall be conditioned for the payment of the amounts specified in sub-section 10 in Section 60-501 ($75,000.00).
  • A Cash bond in the amount of $75,000.00 furnished by a certified check, bank draft, or money order.
  • A certificate of self-insurance. 
• Meet all other applicable reinstatement requirements for any other suspension or revocation actions on your driving record.

Upon receipt of the above-mentioned requirements, the application will be reviewed (the Department must meet all statutory requirements in review and evaluation of the application).  If all requirements are met, the Department will send you the Medical Hardship Drive Permit Authorization letter.  Once authorized, you are required to have the MHP issued:

• Present the authorization letter to a Driver License Examiner for the issuance of the MHP
• Be prepared to furnish the examiner with proof of your date of birth, identity, and two (2) documents for principal address verification.
• Complete the required data form and present to the Driver License Examiner
• Upon completion of the Examiner’s requirements, you will be provided an Issuance Certificate that you must present to the County Treasurer
• You will pay the appropriate fees to the County Treasurer who will issue the temporary document to you