Hillsdale, NY · Columbia County

No notary required

Handicapped Parking Tag Application

This application is for people with severe disabilities seeking a parking permit or disability license plates, and includes sections for applicant and medical certification information.

At a glance

Issued by
City of Hillsdale · Hillsdale, Columbia County, New York
Notarization
Not required: file this form without a notary.
Official source
files.heygov.com
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

The application lets a person with a severe disability request a parking permit or license plates and describes the mobility-related eligibility conditions. For a parking permit, complete Part 1 and have a qualified medical professional complete Part 2 when medical certification is required; the form notes that some permanent disabilities may qualify for a waiver. It asks for applicant details, disability and diagnosis information, and medical professional details.

Who needs it

A person with a severe disability who wants a parking permit or disability license plates should complete the relevant sections of this application.

How to submit it

For a parking permit, take the completed application to the issuing agent in the city, town, or village where you live. The instructions say to call your local city, town, or village hall to find the nearest agent.

About notarization

This application is signed by the applicant and, when required, a medical professional without a notary; it does not identify any notarized attachment or related step.

How to submit this form

  1. 1

    Download The Application

    Download the application and read pages 1 and 2 before completing page 3.

  2. 2

    Complete The Applicant Section

    Fill out Part 1 with the applicant's information and sign it.

  3. 3

    Get Medical Certification

    When required, have a qualified medical professional complete the applicable certification in Part 2.

  4. 4

    Submit To The Issuing Agent

    For a parking permit, take the completed application to the local issuing agent; call your local hall to find the nearest agent.

Frequently asked questions

Do I need a notary for the Handicapped Parking Tag Application?
No. The applicant signs Part 1 and a medical professional signs Part 2 when certification is required; the form does not identify a notarized attachment or step.
How do I submit the Handicapped Parking Tag Application?
For a parking permit, take the completed application to the issuing agent where you live. Call your local city, town, or village hall to find the nearest agent.
Who can apply for a parking permit?
The instructions say New York State residents with one or more severe disabilities that impair mobility may be eligible. The permit may be for a permanent or temporary disability.
What information does the application ask for?
It asks for applicant contact and disability information, the requested permit or plates, and medical certification details when required.

Need something notarized?

This Handicapped Parking Tag Application doesn’t need a notary, but if you have another Hillsdale form that does, a commissioned online notary can help.