Homer, NY · Cortland County
Parking Permit or License Plates Application for Persons With Severe Disabilities
This application is for people with severe disabilities who are seeking a parking permit or disability license plates and must complete Part 1.
What this form is
The packet includes instructions and an application for a parking permit or license plates for people with severe disabilities. Applicants seeking a parking permit complete Part 1 and have the medical certification in Part 2 completed when required; the packet says to take the completed application to the issuing agent for the municipality where the applicant lives. License plate applicants take their completed application to a Motor Vehicles office.
Who needs it
A person with a severe disability seeking a parking permit or disability license plates, or a parent or guardian signing for that person, uses this application.
How to submit it
For a parking permit, take the completed application to the appointed issuing agent for the town, city, or village where you live; call your local hall to find the nearest agent. For license plates, take it to a Motor Vehicles office.
About notarization
This application is signed without a notary; the medical professional completes and signs the required medical certification, and the applicant signs Part 1.
How to submit this form
- 1
Download the Application
Download the parking permit or license plates application packet.
- 2
Complete Part 1
Fill in the applicant information and sign Part 1. Read the packet instructions before completing the application.
- 3
Get Medical Certification
When required, have an eligible medical professional complete and sign the appropriate medical certification in Part 2.
- 4
Submit the Application
For a parking permit, take it to your local issuing agent. For license plates, take it to a Motor Vehicles office.
Frequently asked questions
- Do I need a notary for the disability parking permit application?
- No. The application has no notary requirement; the applicant signs Part 1, and a medical professional completes and signs the medical certification when required.
- How do I submit the parking permit application?
- Take the completed application to the appointed issuing agent for the municipality where you live. The instructions say to call your local city, town, or village hall to find the nearest agent.
- Can I use this application to request license plates?
- Yes. Complete Part 1 and the permanent-disability medical certification when required, then take the application to a Motor Vehicles office.
- Who can certify the medical section?
- Permanent disabilities may be certified by an MD, DO, PA, NP, or, for podiatry-related disabilities, a DPM. Temporary disabilities may be certified by an MD or DO.
