Dunkirk, NY · Chautauqua County
Application for a Parking Permit or License Plates for Persons with Severe Disabilities
This application is for people with severe disabilities seeking a parking permit or disability license plates, and includes sections for the applicant and a medical professional.
What this form is
This New York State DMV application is for a person with a severe disability seeking a parking permit or license plates. The applicant completes Part 1, and an MD, DO, or DPM completes the medical certification in Part 2; the form says to take the completed application to the issuing agent in the applicant’s area.
Who needs it
A person with a severe disability seeking a parking permit or disability license plates needs this application, with medical certification completed by an MD, DO, or DPM.
How to submit it
Take the completed application to the issuing agent in the area where you live; apply to a local issuing agent for a parking permit or to DMV for license plates. Bring your New York State driver license or ID card if you have one.
About notarization
This application is signed without a notary; the applicant and medical professional sign and date their sections, and no notarized attachment or related step is mentioned.
How to submit this form
- 1
Download The Application
Download the application PDF for a parking permit or license plates for persons with severe disabilities.
- 2
Complete Part 1
Print the information about the person with the disability and sign and date the applicant section.
- 3
Get Medical Certification
Have an MD, DO, or DPM complete and sign Part 2, including the disability information.
- 4
Submit The Application
Take the completed application to the issuing agent where you live; apply to a local issuing agent for a permit or DMV for plates.
Frequently asked questions
- Do I need a notary for this parking permit application?
- No. This application is signed without a notary; the applicant and medical professional sign and date their sections, and no notarized attachment or related step is mentioned.
- Who completes the medical certification?
- Part 2 must be completed by a Medical Doctor (MD), Doctor of Osteopathy (DO), or Doctor of Podiatric Medicine (DPM).
- How do I submit the application?
- Take the completed application to the issuing agent in the area where you live. Apply to a local issuing agent for a parking permit or to DMV for license plates.
- What should I bring when applying?
- If you have a New York State driver license or an ID card issued by New York State DMV, bring it with you when you apply.