Nebraska State Patrol-Criminal Identification Division
Application for Criminal History Records Portal Fee Waived
8/18/2017
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 Nebraska.gov subscription.
Online records requests made not using a Nebraska.gov subscription or using a Nebraska.gov
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 Nebraska.gov Subscriber services.
Online records requests using the subscriber service will bill the Nebraska State Patrol record fee
of $12.50 to your Nebraska.gov subscription.
Any Criminal History Request Portal Fees inquired on your Nebraska.gov subscription account
prior to approval and processing of this application are non-refundable.
Please visit: www.nebraska.gov/subscriber/
for more information regarding Nebraska.gov
Subscriber Services.
Please complete the following to apply for the Portal Fee to be waived and return to the address or fax
below.
Nebraska State Patrol-Criminal Identification Division
Attn: Records Analysis Supervisor - Background Check Team
3800 NW 12
th
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
