Burke, NY · Franklin County
Application for a Parking Permit or License Plates for People With Severe Disabilities
New York residents with mobility-limiting disabilities use this application to request a parking permit or special license plates.
At a glance
- Issued by
- City of Burke · Burke, Franklin County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- burkeny.org
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This application is for a New York resident with a severe disability that impairs mobility who wants a parking permit or special license plates. Applicants complete Part 1; a first-time parking permit applicant generally needs a medical professional to complete Part 2. A permanent-disability permit renewal does not require new medical certification. Special plates require a permanent disability and a vehicle registered to the person with the disability.
Who needs it
A New York resident with a severe mobility-limiting disability needs this application to request a parking permit or special license plates.
How to submit it
For a parking permit, take the completed application to the local municipality that issues permits where you live. For special plates, bring it to any Motor Vehicles office.
About notarization
This application is signed without a notary; the applicant signs and dates Part 1, and a medical professional signs and dates Part 2 when certification is required.
How to submit this form
- 1
Download the Application
Download the application and read pages 1 and 2 before completing the form on page 3.
- 2
Complete Part 1
Fill in the applicant information and sign Part 1. Indicate whether you want a parking permit, a renewal, or license plates.
- 3
Complete Medical Certification
If required, have an eligible medical professional complete and sign Part 2. First-time permit applications generally require certification.
- 4
Submit the Application
For a parking permit, take it to the local issuing municipality where you live. For special plates, bring it to any Motor Vehicles office.
Frequently asked questions
- Do I need a notary for the severe-disability parking application?
- No. This application does not require notarization. The applicant signs and dates Part 1; a medical professional signs and dates Part 2 when medical certification is required.
- How do I submit the parking permit application?
- Take the completed application to the local municipality that issues parking permits where you live. The instructions say to contact your local city, town, or village office to find where to bring it.
- Who completes the medical certification section?
- When certification is required, a physician, physician assistant, nurse practitioner, podiatrist for foot-related disabilities, or optometrist for blindness completes the applicable section.
- Can I use this application to request special license plates?
- Yes. The application covers special plates for a permanent disability. The vehicle must be registered to the person with the disability, and the completed application is brought to a Motor Vehicles office.