.ATV-UTV ORDINANCE NO. 665 CHECKLIST

City of Kimball Police Department

Valid Class “O” Operator’s License or Farm Permit
19 Years of age or older
Proof of DOT approved helmet
ATV 50 inches or less in width
ATV dry weight of 900 lbs. or less
ATV has three or more low pressure tires
ATV designed operator or operator and one passenger
ATV has straddle seat
ATV has handle bars or steering assembly
ATV has valid liability insurance coverage
ATV has working head lamp and tail lamp
ATV has approved rear attached flag
ATV has working brake system and brake lights
ATV has good working ATV muffler
ATV does NOT have exhaust cut outs, bypass, etc.
ATV has qualified spark arrester (U.S. Forrest qualified, reference ATV Owners’ Manual or Online) with no modifications. / Valid Class “O” Operator’s License or Farm Permit
19 Years of age or older
Proof of DOT approved helmet
UTV 48-74 inches in width
UTV is less than 135 inches in length
UTV dry weight of 900-2000 lbs.
UTV has four or more low pressure tires
UTV has bench or bucket-type seating for operator or operator and one passenger
UTV has steering wheel
UTV has valid liability insurance coverage
UTV has working head lamp and tail lamp
UTV has approved rear attached flag
UTV has working brake system and brake lights
UTV has good working UTV muffler
UTV does NOT have exhaust cut outs, bypass, etc.
UTV has qualified spark arrester (U.S. Forrest qualified, reference ATV Owners’ Manual or Online) with no modifications.
UTILITY-TYPE VEHICLE DOES NOT INCLUDE GOLF CARTS OR LOW-SPEED VEHICLES

ACKNOWLEDGMENT

Officer

I have hereby inspected the above vehicle and at the time of inspection found all of the above requirements to meet the City of Kimball, Nebraska’s requirements for registration.

Officer Signature Date

Owner/Operator

I have hereby met the above requirements as set forth in the City of Kimball, Nebraska’s Ordinance No. 665. I furthermore sign and acknowledge that I have read and understand all rules and regulations of the City Ordinance No. 665 and will abide by them. I also sign and acknowledge that it is my responsibility to keep the above ATV/UTV in its current working order and that if my ATV/UTV or equipment, at any time, no longer meets the above requirements, I must stop operation of the ATV/UTV until it once again is in compliance with City Ordinance No. 665.

Owner/Operator Signature Date

ATV/UTV Registration

City of Kimball Police Department

ATV/UTV Owner: D.O.B.

Address:

City: State: Zip:

ATV/UTV Operator (if not owner): D.O.B.

Address:

City: State: Zip:

Operator Driver’s License No. State:

Additional ATV/UTV Operator: D.O.B.

Address:

City: State: Zip:

Operator Driver’s License No. State:

ATV/UTV VIN: ATV/UTV Make/Model/Year:

ATV/UTV Insurance Provider:

Inspecting Officer: Badge No.

Dated:

\\01kimball\city\Word Documents\Meg\Forms\ATV-UTV ORDINANCE Checklist.docxatv last updated: 5/3/2011 2:05:04 PM