Byron, NY · Genesee County

No notary required

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

New York residents with severe disabilities use this application to request a parking permit or disability license plates and provide personal and medical information.

What this form is

This application is for New York residents with severe disabilities that impair mobility who are seeking a parking permit or license plates. Applicants complete Part 1, and a physician, podiatrist, or nurse practitioner completes the medical certification in Part 2 unless the stated waiver applies. Parking permit applications go to a local issuing agent; license plate applications go to a Motor Vehicles office.

Who needs it

A New York resident with a severe mobility-related disability needs this application to request a parking permit or license plates.

How to submit it

For a parking permit, take the completed application to the issuing agent in your area; call your local city, town, or village hall to find the nearest agent. For plates, bring it to a Motor Vehicles office.

About notarization

This application is signed and dated without a notary; a medical professional completes and signs the medical certification in Part 2.

How to submit this form

  1. 1

    Download the Application

    Download the application for a parking permit or license plates for persons with severe disabilities.

  2. 2

    Complete Part 1

    Fill out the applicant information and select whether you are applying for a parking permit or license plates.

  3. 3

    Get Medical Certification

    Have a physician, podiatrist, or nurse practitioner complete Part 2, unless the instructions' stated waiver applies.

  4. 4

    Submit the Application

    Take a parking permit application to your local issuing agent or bring a license plate application to a Motor Vehicles office.

Frequently asked questions

Do I need a notary for the severe disability parking application?
No. The applicant signs and dates the application without a notary; a medical professional completes and signs the medical certification in Part 2.
How do I submit a parking permit application?
Take the completed application to the issuing agent in your area. The instructions say to call your local city, town, or village hall to find the nearest agent.
Who completes the medical certification?
A physician, podiatrist, or nurse practitioner completes Part 2 and returns it to the applicant. The instructions describe circumstances in which medical certification may be waived.
Where do I apply for disability license plates?
Bring the completed application to a Motor Vehicles office. The vehicle must be registered to the person with the disability, and the disability must be permanent.

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