Do I need a notary for the disability parking application?

No. The applicant signs Part 1 without a notary; when medical certification is required, an eligible medical professional completes and signs Part 2.

Who can apply for a disability parking permit?

The instructions say New York residents with one or more severe disabilities that impair mobility may be eligible. You do not have to be a driver or vehicle owner to get a permit.

Can I use this application to request license plates?

Yes. The application covers parking permits and license plates. To apply for plates, the disability must be permanent and the vehicle must be registered to the person with the disability.

Pavilion, NY · Genesee County

No notary required

Parking Permit or License Plates for Persons with Severe Disabilities Application

New York residents with severe disabilities use this application to request a parking permit from their local issuing agent or disability license plates.

At a glance

Issued by: City of Pavilion · Pavilion, Genesee County, New York
Notarization: Not required: file this form without a notary.
Official source: townofpavilion.gov
Blank form: Download the PDF
Catalogued: Sep 28, 2026
Machine-readable: JSON record · about the forms index

What this form is

This application lets eligible residents request a parking permit or license plates for a person with severe disabilities. For a permit, complete Part 1 and have the appropriate medical professional complete Part 2 when medical certification is required; take the application to the issuing agent for your municipality. License plates require a permanent disability and a vehicle registered to the person with the disability.

Who needs it

A New York resident with a severe disability who wants a parking permit or disability license plates should complete the applicable parts of this application.

How to submit it

For a parking permit, take the completed application to the appointed 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 the completed application to a Motor Vehicles office.

About notarization

This document is signed without a notary; the applicant signs Part 1, and a medical professional completes and signs Part 2 when certification is required.

How to submit this form

1
Download The Application
Download the application packet and read pages 1 and 2 before completing the application on page 3.
2
Complete Part 1
Fill in the applicant information, select a parking permit or license plates, and sign Part 1.
3
Gather Medical Certification
When required, have an eligible medical professional complete and sign the applicable medical certification in Part 2.
4
Submit The Application
For a permit, take it to your local municipality's appointed issuing agent. For plates, bring it to a Motor Vehicles office.

Frequently asked questions

Do I need a notary for the disability parking application?: No. The applicant signs Part 1 without a notary; when medical certification is required, an eligible medical professional completes and signs Part 2.
How do I submit the parking permit application?: Take the completed application to the appointed issuing agent for the city, town, or village where you live. Do not send it to the Department of Motor Vehicles.
Who can apply for a disability parking permit?: The instructions say New York residents with one or more severe disabilities that impair mobility may be eligible. You do not have to be a driver or vehicle owner to get a permit.
Can I use this application to request license plates?: Yes. The application covers parking permits and license plates. To apply for plates, the disability must be permanent and the vehicle must be registered to the person with the disability.

Need something notarized?

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