Delhi, NY · Delaware County
Application for a Parking Permit or License Plates for Persons with Severe Disabilities
This application lets a person with a severe disability request a parking permit or disability license plates by completing personal information and obtaining medical certification.
What this form is
Use this application to request a parking permit from a local issuing agent or disability license plates from a Motor Vehicles office. The applicant completes Part 1, and a medical doctor, doctor of osteopathy, doctor of podiatric medicine, or nurse practitioner completes Part 2, unless the instructions describe a qualifying exception to medical certification. The medical professional records the diagnosis and disability information.
Who needs it
A person with a severe disability seeking a parking permit or disability license plates completes Part 1 and may need a medical professional to complete Part 2.
How to submit it
For a parking permit, take the completed application to the issuing agent in your area; the instructions say to contact your local city, town, or village hall to find an agent. For license plates, bring the completed application to a Motor Vehicles office.
About notarization
This application is signed and dated without a notary; the applicant and medical professional sign their respective sections, and the document does not require a sworn or notarized attachment.
How to submit this form
- 1
Download the Application
Download the application for a parking permit or disability license plates.
- 2
Complete Part 1
Print the applicant’s information and sign Part 1. Select whether you are applying for a permit or license plates.
- 3
Complete Part 2
Have a medical professional complete the medical certification, unless an exception described in the instructions applies.
- 4
Submit the Application
Take a permit application to your local issuing agent. For license plates, bring it to a Motor Vehicles office.
Frequently asked questions
- Do I need a notary for the disability parking permit application?
- No. The applicant and medical professional sign and date their sections; no notarized or sworn attachment is specified.
- How do I submit the disability parking permit application?
- Take a completed permit application to the issuing agent in your area. The instructions say to contact your local city, town, or village hall to find an agent.
- Who completes the medical certification?
- Part 2 must be completed by a medical doctor, doctor of osteopathy, doctor of podiatric medicine, or nurse practitioner, unless the instructions describe an exception.