Scrap Tire 25% Eligible Reimbursement Form
This information is provided by the Nebraska Department of Environment and Energy to assist the public and regulated community.
Form #: 24-014 Applications and Forms Revised: 6/18/24

Scrap Tire 25% Eligible Reimbursement Form


If applying for a completed 25% of the installed retail cost of a tire-derived product (artificial turf athletic field, running track surface, poured-in-place playground surface or playground mats or tiles), you must include/upload the completed 25% Scrap Tire Eligible Reimbursements Form with the application.