Burke, NY · Franklin County
Application for License Plates or Parking Permits for People with Disabilities
This application lets eligible residents request a disability parking permit or special license plates by providing personal information and, when required, medical certification.
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
Use this application to request a parking permit or special license plates for a person with a severe disability that impairs mobility. The form asks for the applicant’s contact and identification information, requested option, and disability details. A medical professional must complete Part 2 for a first-time parking permit or a license-plate application; permanent-permit renewals do not require new medical certification.
Who needs it
A resident with a qualifying disability, or a parent or guardian signing for that person, uses this application to request a permit or special plates.
How to submit it
Take the completed parking-permit application to the local municipality that issues permits where you live; do not send it to the Department of Motor Vehicles. For special plates, bring the completed application to a Motor Vehicles office.
About notarization
This application is signed without a notary; the applicant and, when required, a medical professional sign and date their sections, and no notarized attachment is specified.
How to submit this form
- 1
Download the Application
Download the application and read pages 1 and 2 before completing the application on page 3.
- 2
Complete Part 1
Enter the requested personal information, choose a parking permit or license plates, and sign Part 1.
- 3
Get Medical Certification
When required, have an eligible medical professional complete and sign Part 2. First-time permit applications and license-plate applications require certification.
- 4
Submit the Application
Take a parking permit application to the local municipality that issues permits where you live. Bring a license-plate application to a Motor Vehicles office.
Frequently asked questions
- Do I need a notary for the disability parking application?
- No. The application does not require a notary; the applicant and, when required, a medical professional sign and date their sections.
- How do I submit the parking permit application?
- Take the completed application to the local municipality that issues permits where you live. Do not send a parking permit application to the Department of Motor Vehicles.
- Does the application require medical certification?
- Medical certification is required for a first-time parking permit and for special license plates. A renewal of a permanent parking permit does not require another medical certification.
- Can I use this application to request special license plates?
- Yes. The form allows applicants to request special plates, but the disability must be permanent and the vehicle must be registered to the person with the disability.