Lynwood, CA · Los Angeles County

No notary required

Disabled Person On-Street Parking Application

Residents or their representatives use this application to request a disabled parking space on a residential street in Lynwood.

What this form is

This application requests a disabled parking space on a residential street and asks about the applicant, proposed location, placard, and available off-street parking. A physician must sign the medical statement, and the instructions describe eligibility conditions and review by the Public Safety, Traffic and Parking Commission. The application package includes a $50 initial fee and a copy of a placard or vehicle registration renewal.

Who needs it

A resident or representative seeking a residential on-street disabled parking space in Lynwood should complete the application and obtain the physician’s signature.

How to submit it

Pay the non-refundable $50 initial fee at the City Hall Cashier’s Office at 11330 Bullis Road, then submit the signed application and required copy to Public Works. The form lists the Public Works Yard at 11750 Alameda Street for in-person delivery and 11330 Bullis Road for mail.

About notarization

This application is signed without a notary; the applicant signs and dates it, and a physician signs and dates the medical statement.

How to submit this form

  1. 1

    Download The Application

    Download the Disabled Person On-Street Parking Application PDF.

  2. 2

    Complete And Sign

    Fill in the application, sign and date it, and have a physician complete and sign the medical statement.

  3. 3

    Gather Required Items

    Include a copy of your placard or vehicle registration renewal and the receipt for the $50 initial fee.

  4. 4

    Submit To Public Works

    Submit the application package to the City of Lynwood Public Works Department using an address listed on the form.

Frequently asked questions

Do I need a notary for the Disabled Person On-Street Parking Application?
No. The applicant signs and dates the application, and a physician signs and dates the medical statement; the document does not require notarization.
How do I submit the Disabled Person On-Street Parking Application?
Pay the $50 initial fee at the City Hall Cashier’s Office, then submit the signed application and a copy of your placard or vehicle registration renewal to Public Works. The form lists mailing and in-person addresses.
What must I include with the application?
Include the application with the physician’s signature, the $50 payment receipt, and a copy of your disabled person placard or vehicle registration renewal.
Does submitting the application guarantee a parking space?
No. The form says requests are reviewed by the Public Safety, Traffic and Parking Commission for approval or denial, and describes conditions for residential spaces.

Need something notarized?

This Disabled Person On-Street Parking Application doesn’t need a notary — but if you have another Lynwood form that does, a commissioned online notary can help.