Newport, NY · Herkimer County

No notary required

Parking Permit for Persons With Disabilities

This application is for Newport residents with qualifying disabilities who want a disability parking permit or license plates.

What this form is

The application lets a person with a qualifying permanent or temporary disability request a parking permit, or request license plates for a permanent disability. For a parking permit, the applicant completes Part 1 and generally obtains medical certification in Part 2 before taking the application to the appointed issuing agent in the municipality where they live. The form also records disability details and the issuing agent’s decision.

Who needs it

Newport residents with a qualifying disability can use this application to request a parking permit or, for permanent disabilities, license plates.

How to submit it

Take the completed parking permit application to the appointed issuing agent for the city, town, or village where you live. Call your local city, town, or village hall to find out where the nearest agent is located.

About notarization

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

How to submit this form

  1. 1

    Download The Application

    Download the application and read the packet instructions before completing the form.

  2. 2

    Complete Part 1

    Enter the applicant’s information, select a parking permit or license plates, and sign Part 1.

  3. 3

    Get Medical Certification

    Have a qualified medical professional complete Part 2 when medical certification is required for the disability.

  4. 4

    Submit To The Issuing Agent

    Take the completed application to the appointed issuing agent for the municipality where you live.

Frequently asked questions

Do I need a notary for the disability parking permit application?
No. The applicant signs Part 1 without a notary. A qualified medical professional signs Part 2 when medical certification is required.
How do I submit the parking permit application?
Take the completed application to the appointed issuing agent for the municipality where you live. Contact your local city, town, or village hall to find the nearest agent.
Who can apply for a disability parking permit?
A New York resident with one or more severe disabilities that impair mobility may be eligible. The application describes qualifying conditions and medical certification requirements.
Can I use this application to request disability license plates?
Yes. The application includes a license-plate option for a person with a permanent disability. The vehicle must be registered to the person with the disability.

Need something notarized?

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