St. Armand, NY · Essex 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 license plates, with medical certification completed by an eligible health professional.
What this form is
Use this application to request a parking permit or license plates for a person with a severe disability. For a parking permit, the completed application goes to the local issuing agent in the city, town, or village where the applicant lives; license plates are applied for through the Department of Motor Vehicles. The form asks for the applicant’s information, disability details, medical certification, and signatures.
Who needs it
A person with a severe disability seeking a parking permit or license plates, together with an eligible health professional who certifies the disability.
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 a parking permit application to the Department of Motor Vehicles.
About notarization
This document is signed without a notary; the applicant and certifying health professional sign and date the application.
How to submit this form
- 1
Download The Application
Download the application for a parking permit or license plates for persons with severe disabilities.
- 2
Complete Applicant Information
Fill in the applicant’s information, select the requested permit or plates, and sign the application.
- 3
Get Medical Certification
Have an eligible health professional complete the medical certification and sign and date it.
- 4
Submit To The Local Issuing Agent
For a parking permit, take the completed application to the issuing agent in the city, town, or village where you live.
Frequently asked questions
- Do I need a notary for the disability parking permit application?
- No. The applicant and certifying health professional sign and date the application; no notary is indicated.
- How do I submit a parking permit application?
- Take the completed application to the local issuing agent in the city, town, or village where you live. Do not send it to the Department of Motor Vehicles.
- Who completes the medical certification?
- An eligible health professional completes the medical certification. The form lists different eligible professionals for permanent and temporary disabilities.
- What information does the application request?
- It requests the applicant’s contact and identifying information, details about the disability, medical certification, and signatures.
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 St. Armand form that does, a commissioned online notary can help.