NEVADA HIGHWAY PATROL
APPLICATION FOR FLASHING AMBER LIGHT PERMIT

555 Wright Way
Carson City, Nevada 89711-0590
Tel: (775) 684-4622 Fax: (775) 684-4649

 

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Flashing Amber Light Permit Form
Company Profile:( Required fields are indicated with a red asterisk * )
Company Name*:
Mailing Address*:
City*:
State/Country*:  
Zip Code*:
Business Phone*:
Business Fax:
Application Contact Person*:
Email Address:
 
Permit Period:
 07/01/2016 - 06/30/2017       07/01/2017 - 06/30/2018
Permit Type:
Number of Vehicles Cost
1 to 5 Vehicles $2 per vehicle $2.00 per vehicle
6 to 14 Vehicles $12.00 (Blanket Permit No. 1)
15 or more Vehicles $24.00 (Blanket Permit No. 2)

The vehicle(s) listed on the addendum are to be used for the following purpose:









Other Explanation/Comments:

Vehicle Information:

Addendum to application for Flashing Amber Light Permit (*Note: Blanket Permit 1 & Blanket Permit 2 do not contain description of vehicles)

Vehicle #
VIN
1
2
3
4
5

Amber Light Application is unsucessful if you don't click submit permit button.