Watercraft Registration Form

Either print off and fill out the form below, or click here to download the PDF version.

                                                                  WATERCRAFT  REGISTRATION  FORM

                                                                                        PO  BOX  81141

                                                                                   LINCOLN,  NE  68501

 Name________________________________Lake Address___________________________________

 

Cell # ________________________________Home Phone ____________________________________

 

List all watercraft regardless of size, even if there is no charge.  A sticker will be issued for all watercraft.

I wish to register the following type(s) of watercraft:

Pontoon, Powerboat, Jet Ski, Wave Runner, Sailboat, Catamaran, Windsail, Canoe, Jet Boat, Paddleboat

Type                             Length              NB   state plate #                  12 digit hull identification #         Color/Colors

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**ATTACH:  CERTIFICATE OF INSURANCE & COPY OF STATE PINK REGISTRATION**

 

I agree to maintain liability insurance in the amount of $500,000 on each watercraft that is required to be registered with the state & requires a NB registration number.  I certify that upon receipt of the 2013 NE Boating Guide, the CBCA lake rules and regulations, and the CapitolBeachLake map with buoy placement and boating traffic pattern, I will read and abide by them.  If I have guests who use my craft or if I have a renter, I certify that he/she has read the above & will comply with the above rules & regulations. I also certify that the above information is true and accurate and I consent to the measurement of my watercraft by the CBCA Board or its representatives upon the Board’s request.

 

 

________________________________________                ______________________________

Signature  of Applicant                                                            Date

 

CBCA 2013 decal(s) will be issued by mail upon receipt of this completed form.  If you trade watercraft or purchase additional craft, you must submit an additional form and receive the 2013 decal before putting the new watercraft in the lake. Remove all CBCA stickers from sold watercraft and turn the stickers in with registration of new watercraft and there will be no $25.00 charge in 2013, if purchased during the same year as old watercraft was registered.   Return completed form to the above address.

 

NOTE:     There is a $25.00 fee for each watercraft that requires a Nebraska State watercraft  

                plate number and a $25.00 fee for all sailboats over 10’.  Canoes, non-electric

               paddleboats, kayaks, sailboats under 10’ and windsails will be issued stickers at no

                charge.

_______________________________________________________________________________

FOR CBCA USE ONLY

___Approved by _______________ for CBCA Board.            Date ______________________________

 

CBCA key # issued _____________  Amount Paid ______________ Check # ___________ Cash________

 

___Not Approved by ______________for CBCA Board.        Date _____________________________

 

Reason for denial:                                                                                                                        Revised – February 2013