Elma, NY · Erie County

No notary required

Application for License Plates or Parking Permits for Persons With Severe Disabilities

This application lets eligible New York residents with severe disabilities request disability license plates or a parking permit by providing personal and medical information.

What this form is

Use this application to request license plates or a parking permit for a person with a severe disability that impairs mobility. Complete Part 1 and, when required, have a physician or podiatrist complete Part 2 with the diagnosis and disability information. Parking permits are requested from a local issuing agent; license plates are obtained through a Motor Vehicles office.

Who needs it

A New York resident with a severe mobility-related disability, or their parent or guardian, can use this application to request plates or a parking permit.

How to submit it

For a parking permit, take the completed application to the issuing agent in your area; the instructions say to call your local city, town, or village hall to find the nearest agent. For license plates, bring the completed application to a Motor Vehicles office.

About notarization

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

How to submit this form

  1. 1

    Download The Application

    Download the application for disability license plates or a parking permit.

  2. 2

    Complete Part 1

    Print the applicant's information, select plates or a permit, and sign Part 1.

  3. 3

    Arrange Medical Certification

    When required, have a physician or podiatrist complete Part 2 and return it to you.

  4. 4

    Submit To The Issuing Office

    Take a permit application to your local issuing agent, or bring a plates application to a Motor Vehicles office.

Frequently asked questions

Who can apply for disability plates or a parking permit?
The instructions say eligible New York residents with severe disabilities that impair mobility may apply. The application offers separate options for license plates and a parking permit.
Do I need a notary for the disability plates or permit application?
No. This application is signed without a notary. The applicant and medical professional sign and date their respective sections; no notarized or sworn attachment is identified.
How do I submit the disability plates or permit application?
For a parking permit, take it to the issuing agent in your area; call your local city, town, or village hall to find the nearest agent. For plates, bring it to a Motor Vehicles office.
Does a doctor need to complete part of the application?
Part 2 is for medical certification and must be completed by a medical doctor, doctor of osteopathy, or doctor of podiatric medicine. The instructions describe circumstances when certification may be waived.

Need something notarized?

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