Elmira, NY · Chemung County

No notary required

Handicap Parking Permit Form

Elmira residents use this form to apply for a permanent or temporary handicap parking permit with physician certification.

What this form is

This form is for Elmira residents seeking a permanent or temporary handicap parking permit. The document says residents need a physician to certify the form and must bring it to the Town Clerk’s office. It also requires a copy of the applicant’s driver’s license with each application; permanent permits are valid for five years, and temporary permits may be issued for up to six months.

Who needs it

Elmira residents who need a permanent or temporary handicap parking permit need this form and a physician’s certification.

How to submit it

Bring the completed form and a copy of your driver’s license to the Town Clerk’s office; the document gives no street address, email, or submission portal.

About notarization

This form is signed without a notary; your physician must certify it, and the document does not describe that certification as notarized or sworn.

How to submit this form

  1. 1

    Download The Form

    Download the handicap parking permit form.

  2. 2

    Complete The Form

    Fill out the form and have your physician certify it.

  3. 3

    Gather Required Documents

    Include a copy of your driver’s license with the application.

  4. 4

    Bring It To The Town Clerk

    Bring the completed form and license copy to the Town Clerk’s office.

Frequently asked questions

Do I need a notary for the handicap parking permit form?
No. The form does not require notarization. It does require your physician to certify the form, but the document does not describe that certification as notarized or sworn.
How do I submit the handicap parking permit form?
Bring the completed form and a copy of your driver’s license to the Town Clerk’s office. The document does not provide an address, email, or online submission option.
What must I include with my application?
The document requires a copy of your driver’s license with each application and says your physician must certify the form.
How long are the permits valid?
Permanent permits are valid for five years. Temporary permits may be issued for up to six months.

Need something notarized?

This Handicap Parking Permit Form doesn’t need a notary — but if you have another Elmira form that does, a commissioned online notary can help.