Erin, NY · Chemung County
Application for a Parking Permit or License Plates for Persons With Severe Disabilities
This application is for New York residents with severe mobility disabilities seeking a parking permit or disability license plates.
At a glance
- Issued by
- City of Erin · Erin, Chemung County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- townoferinny.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
The application requests a parking permit or license plates for a person with a severe disability that impairs mobility. The applicant completes Part 1, and a medical professional completes Part 2 unless the instructions allow medical certification to be waived. Parking permit applications go to a local issuing agent; license plate applications go to a Motor Vehicles office.
Who needs it
A person with a severe mobility disability, or their parent or guardian, uses this application to request a parking permit or disability license plates.
How to submit it
For a parking permit, take the completed application to the issuing agent in your area; do not send it to the Department of Motor Vehicles. For license plates, bring it to a Motor Vehicles office.
About notarization
This document is signed without a notary; the applicant and medical professional sign and date their respective sections.
How to submit this form
- 1
Download The Application
Download the parking permit or license plates application PDF.
- 2
Complete Part 1
The person with the disability, or their parent or guardian, fills out and signs Part 1.
- 3
Complete Medical Certification
Have an eligible medical professional complete Part 2, unless medical certification may be waived under the instructions.
- 4
Submit The Application
Take a parking permit application to your local issuing agent, or bring a license plate application to a Motor Vehicles office.
Frequently asked questions
- Do I need a notary for the disability parking application?
- No. This application has signature sections for the applicant and medical professional, but no notary block; each signer signs and dates their section.
- How do I submit the parking permit application?
- Take the completed application to the issuing agent in your area. The instructions say not to send parking permit applications to the Department of Motor Vehicles.
- Who completes the medical certification?
- A medical doctor, doctor of osteopathy, doctor of podiatric medicine, or nurse practitioner completes Part 2, unless the instructions allow medical certification to be waived.
- Where do I apply for disability license plates?
- Bring the completed application to a Motor Vehicles office. The instructions say the vehicle must be registered to the person with the disability.
Need something notarized?
This Application for a Parking Permit or License Plates for Persons With Severe Disabilities doesn’t need a notary, but if you have another Erin form that does, a commissioned online notary can help.
