Roselle Park, MT · Union County
Handicapped Parking Space Application
Roselle Park residents use this application to request an on-street handicapped parking space and provide information about the applicant, parking situation, and disability.
What this form is
This application lets a Roselle Park resident request an on-street handicapped parking space. It asks about the disabled person, residence, vehicle or placard, and available off-street parking; a treating physician must also complete the attached disability certification. The document lists eligibility criteria, including severe mobility impairment and inaccessible off-street parking, and explains that the Police Department will contact the applicant about an interview and parking survey.
Who needs it
A Roselle Park resident seeking an on-street handicapped parking space for themselves or a disabled person whose transportation they are responsible for needs this application.
How to submit it
Return the completed application with the physician-completed certification to the Roselle Park Police Department, 110 East Westfield Avenue, Roselle Park, New Jersey 07204.
About notarization
This application is signed without a notary; the applicant signs and dates it, and the treating physician completes and signs the disability certification.
How to submit this form
- 1
Download The Application
Download the Handicapped Parking Space Application and its physician certification and criteria checklist.
- 2
Complete The Application
Fill in the applicant and disabled person's information, answer each question, and sign and date the applicant certification.
- 3
Get The Physician Certification
Have the treating physician complete the disability certification in detail, then sign and date it.
- 4
Submit To The Police Department
Return the completed application and physician certification to the Roselle Park Police Department at 110 East Westfield Avenue.
Frequently asked questions
- Do I need a notary for the Handicapped Parking Space Application?
- No. The application has no notary block. The applicant signs and dates it, and the treating physician completes and signs the disability certification.
- How do I submit the Handicapped Parking Space Application?
- Return the completed application and physician certification to the Roselle Park Police Department at 110 East Westfield Avenue, Roselle Park, New Jersey 07204.
- What must the physician complete?
- The applicant’s treating physician must complete the disability certification in detail, based on an examination conducted within the past six months, and sign and date it.
- What information does the application ask for?
- It asks for details about the disabled person, residence, vehicle or placard, parking restrictions, and available off-street parking. It also requests a list of vehicles registered at the residence.