Who completes the medical certification?

Part 2 must be completed by a medical doctor, doctor of osteopathy, or doctor of podiatric medicine. The professional certifies the disability and provides the requested medical and license information.

What can I request with this application?

Part 1 lets the applicant select license plates or a parking permit for a person with a severe disability.

How do I submit the application?

The form does not provide submission instructions. Submit it to the city department named on the form and check the city website for current contact details.

Plattsburgh, NY · Clinton County

No notary required

Application for Disability License Plate or Parking Permit

People with disabilities can use this application to request disability license plates or a parking permit, with medical certification completed by an eligible doctor.

What this form is

This application is used to request license plates or a parking permit for a person with a severe disability. The applicant provides personal information, selects the requested option, and signs and dates Part 1. A medical doctor, doctor of osteopathy, or doctor of podiatric medicine completes Part 2 with the disability certification, diagnosis, and professional details.

Who needs it

A person requesting disability license plates or a parking permit needs to complete Part 1, and an eligible medical professional must complete Part 2.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

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 application for disability license plates or a parking permit.
2
Complete Part 1
Print the person’s information, select license plates or a parking permit, and sign and date Part 1.
3
Get Medical Certification
Have an MD, DO, or DPM complete and sign Part 2 with the disability certification and medical details.
4
Submit The Application
Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

Do I need a notary for the disability plate or parking permit application?: No. This document does not require a notary; the applicant and medical professional sign and date their respective sections.
Who completes the medical certification?: Part 2 must be completed by a medical doctor, doctor of osteopathy, or doctor of podiatric medicine. The professional certifies the disability and provides the requested medical and license information.
What can I request with this application?: Part 1 lets the applicant select license plates or a parking permit for a person with a severe disability.
How do I submit the application?: The form does not provide submission instructions. Submit it to the city department named on the form and check the city website for current contact details.

Need something notarized?

This Application for Disability License Plate or Parking Permit doesn’t need a notary — but if you have another Plattsburgh form that does, a commissioned online notary can help.