Who completes the disability parking permit application?

The applicant or their parent or guardian completes Part 1. An MD, DO, DPM, or nurse practitioner must complete the medical certification in Part 2.

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

No. The applicant or representative and medical professional sign and date the application; it does not specify a notarized attachment or sworn step.

How do I submit the disability parking permit application?

Take the completed application to the issuing agent in the area where you live. For license plates, apply to the Department of Motor Vehicles.

What should I bring when I apply?

If you have a state driver license or an ID card issued by the Department of Motor Vehicles, bring it with you when you apply for the permit.

Alexander, NY · Genesee County

No notary required

Application for Persons with Disabilities Parking Permit

This application lets a person with a severe disability request a parking permit or license plates, with medical certification from an eligible medical professional.

What this form is

Use this application to request a parking permit from a local issuing agent or license plates from the Department of Motor Vehicles. The applicant completes Part 1, and an MD, DO, DPM, or nurse practitioner completes the medical certification in Part 2. The form asks for the applicant’s contact and disability information, medical details, and signatures; the issuing agent completes Part 3.

Who needs it

A person with a severe disability applying for a parking permit or license plates needs this application and medical certification from an eligible professional.

How to submit it

Take the completed application to the issuing agent in the area where you live; apply to the Department of Motor Vehicles for license plates. Bring your state driver license or ID card if you have one.

About notarization

This application is signed and dated by the applicant or representative and medical professional without a notary; the form does not specify a notarized attachment or sworn step.

How to submit this form

1
Download the Application
Download the disability parking permit and license plate application.
2
Complete Part 1
Print the applicant’s information, select a permit or license plates, and sign and date Part 1.
3
Get Medical Certification
Have an MD, DO, DPM, or nurse practitioner complete and sign Part 2.
4
Submit the Application
Take the completed application to the issuing agent where you live; apply to the Department of Motor Vehicles for license plates.

Frequently asked questions

Who completes the disability parking permit application?: The applicant or their parent or guardian completes Part 1. An MD, DO, DPM, or nurse practitioner must complete the medical certification in Part 2.
Do I need a notary for the disability parking permit application?: No. The applicant or representative and medical professional sign and date the application; it does not specify a notarized attachment or sworn step.
How do I submit the disability parking permit application?: Take the completed application to the issuing agent in the area where you live. For license plates, apply to the Department of Motor Vehicles.
What should I bring when I apply?: If you have a state driver license or an ID card issued by the Department of Motor Vehicles, bring it with you when you apply for the permit.

Need something notarized?

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