Walton, NY · Delaware County
Application for a Parking Permit or License Plates for Persons with Severe Disabilities
This application is for people with severe disabilities seeking a parking permit or disability license plates, with permit applications taken to their local issuing agent.
What this form is
This application lets a person with a severe disability request a parking permit or license plates. Parking permit applications go to the local issuing agent where the applicant lives, while license plate applications go to the Department of Motor Vehicles. It requests the applicant’s contact details and disability information, along with medical certification completed by an authorized medical professional.
Who needs it
People with severe disabilities who want a parking permit or disability license plates use this application, with a parking permit request submitted to their local issuing agent.
How to submit it
Take the completed application to the local issuing agent in the city, town, or village where you live; the form says not to send it to the Department of Motor Vehicles.
About notarization
This application is not notarized; the person with the disability or parent or guardian signs, and the medical professional signs and dates the certification.
How to submit this form
- 1
Download The Application
Download the disability parking permit application PDF.
- 2
Complete Applicant Information
Print the person’s contact details and select whether to request license plates or a parking permit.
- 3
Get Medical Certification
Have an authorized medical professional complete the disability information and sign the medical certification.
- 4
Submit To The Local Issuing Agent
For a parking permit, take the completed application to the local issuing agent where the applicant lives.
Frequently asked questions
- Do I need a notary for the disability parking permit application?
- No. This application is not notarized; the person with the disability or parent or guardian signs, and the medical professional signs and dates the certification.
- How do I submit the disability parking permit application?
- Take the completed application to the local issuing agent in the city, town, or village where you live. The form says not to send it to the Department of Motor Vehicles.
- Who completes the medical certification?
- An authorized medical professional completes and signs the medical certification. The form lists which professionals may certify permanent and temporary disabilities.
- Can I use this application to request license plates?
- Yes. The application offers a choice of license plates or a parking permit. It directs applicants for license plates to apply to the Department of Motor Vehicles.
Need something notarized?
This Application for a Parking Permit or License Plates for Persons with Severe Disabilities doesn’t need a notary — but if you have another Walton form that does, a commissioned online notary can help.