Do I need a notary for the disability parking application?

No. The applicant and medical professional sign their sections; the form does not require a notarized or sworn attachment.

Can I use this application to request license plates?

Yes. The form covers license plates for a permanent disability. Bring the completed application to a Motor Vehicles office.

Who completes the medical certification?

A qualified medical professional completes Part 2. The form lists eligible professionals and notes that temporary disabilities may be certified only by a Medical Doctor or Doctor of Osteopathy.

Moira, NY · Franklin County

No notary required

Application for a Parking Permit or License Plates for Persons With Disabilities

This application lets eligible residents with severe disabilities request a parking permit from their local issuing agent or disability license plates from the Motor Vehicles office.

What this form is

Use this application to request a parking permit for a permanent or temporary disability, or license plates for a permanent disability. Permit applicants take the completed application to the issuing agent for the city, town, or village where they live; license plate applicants bring it to a Motor Vehicles office. The form asks for the applicant’s contact and disability information, and medical certification when required.

Who needs it

A resident with a severe disability who wants a parking permit or, for a permanent disability, license plates can complete this application.

How to submit it

For a parking permit, take the completed application to the issuing agent for the city, town, or village where you live; do not send it to the Department of Motor Vehicles. For license plates, bring it to a Motor Vehicles office.

About notarization

This document is signed without a notary; the applicant and medical professional sign their respective sections, and the form does not call for a notarized or sworn attachment.

How to submit this form

1
Download The Application
Download the application PDF and read pages 1 and 2 before completing the application on page 3.
2
Complete Part 1
Enter the applicant’s information, indicate whether you want a parking permit or license plates, and sign Part 1.
3
Get Medical Certification
Have a qualified medical professional complete the applicable certification in Part 2, unless the form’s stated exception applies.
4
Submit The Application
Take a permit application to your local issuing agent; 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 applicant and medical professional sign their sections; the form does not require a notarized or sworn attachment.
How do I submit the parking permit application?: Take the completed application to the issuing agent for the city, town, or village where you live. Do not send it to the Department of Motor Vehicles.
Can I use this application to request license plates?: Yes. The form covers license plates for a permanent disability. Bring the completed application to a Motor Vehicles office.
Who completes the medical certification?: A qualified medical professional completes Part 2. The form lists eligible professionals and notes that temporary disabilities may be certified only by a Medical Doctor or Doctor of Osteopathy.

Need something notarized?

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