Nebraska State Patrol-Criminal Identification Division
Application for Criminal History Records Portal Fee Waived
Criminal History Records requested online include a $3.00 Portal Fee assessed by Nebraska Interactive,
a third party contracted by the State of Nebraska. Nebraska State Agencies are able to apply for the
$3.00 portal fee to be waived for all records ordered online using a subscription.
Online records requests made not using a subscription or using a
subscription without the Portal Fee Free setup authorized with this application, will assess the
$3.00 Portal Fee.
Approval of this application does not grant any additional access or free/discounted access to
other Subscriber services.
Online records requests using the subscriber service will bill the Nebraska State Patrol record fee
of $12.50 to your subscription.
Any Criminal History Request Portal Fees inquired on your subscription account
prior to approval and processing of this application are non-refundable.
Please visit:
for more information regarding
Subscriber Services.
Please complete the following to apply for the Portal Fee to be waived and return to the address or fax
Nebraska State Patrol-Criminal Identification Division
Attn: Records Analysis Supervisor - Background Check Team
3800 NW 12
Street, Lincoln, NE 68521
Fax: 402.479.4321
1. Agency Name:________________________________________________
Contact Person (Responsible party for user account set up):
Name: ________________________________________________
Phone: ________________________________________________
Email: ________________________________________________
2. Projected volume (number of times access will be used in one month):____________
I___________________________ hereby apply for Portal Fee Free access to the NSP Criminal History
Records Subscriber System as described above.
Dated this day_________of_________, 20___
______________________________ ______________________________
Signature of Agency Director Printed Name of Agency Director