Do I need a notary for the disability parking permit application?

No. The applicant signs Part 1 without a notary. A medical professional signs Part 2 when medical certification applies.

Who may apply for a parking permit?

The instructions say New York residents with one or more severe disabilities that impair mobility may be eligible. The application describes qualifying permanent and temporary disabilities.

Can I use this application to request license plates?

Yes. The form includes an option for license plates, but the instructions say to apply for them at a Motor Vehicles office.

Chesterfield, NY · Essex County

No notary required

Parking Permit or License Plates Application for Persons with Severe Disabilities

This application is for eligible residents with severe disabilities who seek a parking permit or special license plates and submit it to the appropriate issuing agent or motor vehicles office.

What this form is

The packet explains eligibility and provides an application for a parking permit or license plates for a person with a severe disability. For a parking permit, complete Part 1 and have the required medical professional complete Part 2 when medical certification applies; take the application to the issuing agent for the city, town, or village where you live. License plate applicants must apply through a Motor Vehicles office.

Who needs it

A resident with a qualifying severe disability uses this application to request a parking permit from the local issuing agent or special license plates from a Motor Vehicles office.

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; call your local hall to find the nearest agent. Do not send a parking permit application to the Department of Motor Vehicles.

About notarization

No notary is required for this document; the applicant signs Part 1 and dates are entered on the form, and the medical professional signs Part 2 when applicable.

How to submit this form

1
Download The Application
Download the parking permit or license plates application packet.
2
Complete Part 1
Read the instructions and fill out Part 1 with the information requested about the person with the disability.
3
Get Medical Certification
When applicable, have an eligible medical professional complete and sign the relevant section of Part 2.
4
Submit The Application
For a parking permit, take the completed form to the appointed issuing agent where you live. 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 signs Part 1 without a notary. A medical professional signs Part 2 when medical certification applies.
How do I submit a parking permit application?: Take the completed application to the appointed issuing agent for the city, town, or village where you live. Call your local hall to find the nearest agent.
Who may apply for a parking permit?: The instructions say New York residents with one or more severe disabilities that impair mobility may be eligible. The application describes qualifying permanent and temporary disabilities.
Can I use this application to request license plates?: Yes. The form includes an option for license plates, but the instructions say to apply for them at a Motor Vehicles office.

Need something notarized?

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