Virgil, NY · Cortland County

No notary required

Accessible Parking Application

New York residents with severe disabilities use this application to request a parking permit or disability license plates through their local issuing agent.

At a glance

Issued by
City of Virgil · Virgil, Cortland County, New York
Notarization
Not required: file this form without a notary.
Official source
img1.wsimg.com
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

This application is for New York residents with severe disabilities who want a parking permit or license plates for persons with disabilities. For a parking permit, complete Part 1 and have an eligible medical professional complete the applicable certification in Part 2; take the application to the appointed issuing agent where you live. It asks for personal and disability information, medical certification when required, and the applicant’s signature.

Who needs it

A resident with a qualifying severe disability who wants a parking permit or disability license plates should complete this application.

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.

About notarization

This application is signed without a notary; the applicant and medical professional sign their sections, and applicants with disability plates attach a copy of their vehicle registration.

How to submit this form

  1. 1

    Download the Application

    Download the Accessible Parking Application PDF and read the instructions on pages 1 and 2.

  2. 2

    Complete Part 1

    Enter the applicant’s information, indicate whether you want a parking permit or license plates, and sign Part 1.

  3. 3

    Get Medical Certification

    Have an eligible medical professional complete the applicable certification in Part 2, unless the instructions allow a waiver.

  4. 4

    Submit to the Issuing Agent

    For a parking permit, take the completed application to the appointed issuing agent for the city, town, or village where you live.

Frequently asked questions

Who can use the Accessible Parking Application?
New York residents with one or more severe disabilities that impair mobility may apply for a parking permit or disability license plates using this application.
Do I need a notary for the Accessible Parking Application?
No. The applicant and medical professional sign their sections without a notary. Applicants with disability plates attach a copy of their vehicle registration.
How do I submit the Accessible Parking Application?
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.
Does the application require medical certification?
The application includes medical certification for permanent or temporary disabilities. The instructions identify which medical professionals may certify each type; some permanent disabilities may qualify for a waiver.

Need something notarized?

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