Lincklaen, NY · Chenango County
Application for License Plates and/or Parking Permits for People with Disabilities
This application is for people with severe disabilities seeking a parking permit or disability license plates, and includes applicant and medical certification sections.
At a glance
- Issued by
- City of Lincklaen · Lincklaen, Chenango County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- townoflincklaen.org
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Use this application to request a parking permit or license plates for a person with a severe disability that impairs mobility. The form asks for the applicant’s contact and disability information, the requested option, and medical certification where required. Follow the packet’s instructions for certification and submission: parking permit applications go to the local issuing agent, while license plate applications go to a Motor Vehicles office.
Who needs it
A person with a severe disability, or their parent or guardian, can complete 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 appointed issuing agent for the city, town, or village where you live; do not send it to the Department of Motor Vehicles. For license plates, bring it to a Motor Vehicles office.
About notarization
This application 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 application PDF and read pages 1 and 2 before completing the application on page 3.
- 2
Complete Part 1
Enter the applicant’s information, indicate whether you want a parking permit or license plates, and sign Part 1.
- 3
Gather Medical Certification
Have an eligible medical professional complete the applicable medical certification section when required by the packet instructions.
- 4
Submit the Application
Take a parking permit application to the local issuing agent. 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 is signed without a notary; the applicant and medical professional sign and date their respective sections.
- How do I submit the application?
- For a parking permit, take the completed application to the appointed issuing agent for the city, town, or village where you live. For license plates, bring it to a Motor Vehicles office.
- Do I need medical certification?
- The application instructions call for medical certification for permanent and temporary disabilities, with different eligible medical professionals for each. The packet describes circumstances in which certification may be waived for some permanent disabilities.
Need something notarized?
This Application for License Plates and/or Parking Permits for People with Disabilities doesn’t need a notary, but if you have another Lincklaen form that does, a commissioned online notary can help.