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

No. The applicant signs Part 1 without a notary. When required, a qualified medical professional completes the medical certification in Part 2; the document does not say this certification must be notarized.

How do I submit the parking permit application?

Take the completed form to the local municipality that issues parking permits where you live. The instructions say not to send a parking permit application to DMV.

Can I use this form to request special license plates?

Yes. The form covers special plates for people with permanent disabilities. The vehicle must be registered to the person with the disability, and the completed application is brought to a Motor Vehicles office.

Does a first-time parking permit application need medical certification?

Yes. For a first-time parking permit, a qualified medical professional must complete the medical certification section. The instructions say certification is not required to renew a permanent parking permit.

Westville, NY · Franklin County

No notary required

Application for a Parking Permit or License Plates for Persons with Severe Disabilities

This application lets eligible New York residents with severe disabilities request a parking permit or special license plates and provide personal and medical information.

At a glance

Issued by: City of Westville · Westville, Franklin County, New York
Notarization: Not required: file this form without a notary.
Official source: dmv.ny.gov
Blank form: Download the PDF
Catalogued: Sep 28, 2026
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. Complete Part 1 with the applicant’s information and request; a medical professional completes Part 2 when certification is required. Parking permits are issued by the local municipality, while special license plates are obtained through a Motor Vehicles office.

Who needs it

A New York resident with a severe mobility-related disability, or their parent or guardian, can use this form to request a permit or special plates.

How to submit it

For a parking permit, take the completed application to the local municipality that issues permits where you live; do not send it to DMV. For special plates, bring the completed application to a Motor Vehicles office.

About notarization

This document is signed without a notary; the required medical certification is completed by a qualified medical professional, not sworn or notarized.

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
Enter the applicant’s information, select a parking permit or license plates, and sign Part 1.
3
Get Medical Certification
When required, have a qualified medical professional complete the applicable disability certification in Part 2.
4
Submit The Application
Take a parking permit application to the local issuing municipality, or bring a special plates application to a Motor Vehicles office.

Frequently asked questions

Do I need a notary for the severe disability parking application?: No. The applicant signs Part 1 without a notary. When required, a qualified medical professional completes the medical certification in Part 2; the document does not say this certification must be notarized.
How do I submit the parking permit application?: Take the completed form to the local municipality that issues parking permits where you live. The instructions say not to send a parking permit application to DMV.
Can I use this form to request special license plates?: Yes. The form covers special plates for people with permanent disabilities. The vehicle must be registered to the person with the disability, and the completed application is brought to a Motor Vehicles office.
Does a first-time parking permit application need medical certification?: Yes. For a first-time parking permit, a qualified medical professional must complete the medical certification section. The instructions say certification is not required to renew a permanent parking permit.

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 Westville form that does, a commissioned online notary can help.