Erin, NY · Chemung County

No notary required

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. 1

    Download The Application

    Download the parking permit or license plates application PDF.

  2. 2

    Complete Part 1

    The person with the disability, or their parent or guardian, fills out and signs Part 1.

  3. 3

    Complete Medical Certification

    Have an eligible medical professional complete Part 2, unless medical certification may be waived under the instructions.

  4. 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.