Do I need a notary for the severe disabilities parking permit application?

No. The applicant and medical professional sign and date their sections; the document does not identify a notarized or sworn attachment.

How do I submit the parking permit application?

Take the completed application to the issuing agent in the city, town, or village where you live. The document says not to send it to the Department of Motor Vehicles.

Who completes the medical certification?

A medical professional completes the certification. The form lists eligible professionals and says temporary disabilities may be certified only by a medical doctor or doctor of osteopathy.

Can this application also be used for license plates?

Yes. The form includes an option for license plates, which it says applicants should apply for through the Department of Motor Vehicles.

Stamford, NY · Delaware County

No notary required

Application for Parking Permit for Persons With Severe Disabilities

This application is for people with severe disabilities seeking a parking permit from the local municipality where they live.

What this form is

Use this application to request a parking permit for a person with a severe disability; the form also includes an option to apply for license plates. The applicant provides personal information, and a medical professional completes the medical certification, including the disability and diagnosis. For a parking permit, take the completed application to the issuing agent in the municipality where the applicant lives.

Who needs it

A person with a severe disability who wants a parking permit should complete this application and obtain the required medical certification.

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. Do not send it to the Department of Motor Vehicles.

About notarization

This document is signed without a notary; the applicant and medical professional sign and date their sections, and no notarized or sworn attachment is identified.

How to submit this form

1
Download The Application
Download the parking permit application for persons with severe disabilities.
2
Complete Applicant Information
Fill in the applicant information, select the application type, and sign and date the applicant section.
3
Get Medical Certification
Have an eligible medical professional complete and sign the medical certification section.
4
Submit To The Issuing Agent
For a parking permit, take the completed application to the issuing agent where you live; do not mail it to the Department of Motor Vehicles.

Frequently asked questions

Do I need a notary for the severe disabilities parking permit application?: No. The applicant and medical professional sign and date their sections; the document does not identify a notarized or sworn attachment.
How do I submit the parking permit application?: Take the completed application to the issuing agent in the city, town, or village where you live. The document says not to send it to the Department of Motor Vehicles.
Who completes the medical certification?: A medical professional completes the certification. The form lists eligible professionals and says temporary disabilities may be certified only by a medical doctor or doctor of osteopathy.
Can this application also be used for license plates?: Yes. The form includes an option for license plates, which it says applicants should apply for through the Department of Motor Vehicles.

Need something notarized?

This Application for Parking Permit for Persons With Severe Disabilities doesn’t need a notary — but if you have another Stamford form that does, a commissioned online notary can help.