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

No. The applicant signs and dates Part 1 without a notary. When required, a qualified medical professional completes and signs the medical certification in Part 2.

How do I submit the disability parking permit application?

Take the completed application to the issuing agent in the city, town, or village where you live. The instructions say not to send parking permit applications to DMV.

Who can apply for a parking permit or disability plates?

The instructions describe eligibility for New York residents with one or more severe disabilities that impair mobility. Permit applicants may have permanent or temporary disabilities; license plate applicants must have a permanent disability.

What information does the application ask for?

Part 1 asks for the applicant’s personal information and requested permit or plates. Part 2 covers disability details and medical certification, when required.

Alexandria, NY · Jefferson County

No notary required

Application for License Plates and/or Parking Permits for People with Disabilities

New York residents with qualifying disabilities use this application to request a parking permit or disability license plates.

What this form is

This application lets a person with a qualifying disability request a parking permit or license plates. For a parking permit, take the completed form to the issuing agent in the city, town, or village where you live; license plate applicants apply through a Motor Vehicles office. The form asks for the applicant’s information and disability details, and includes medical certification sections for a qualified professional.

Who needs it

A New York resident with a qualifying disability who wants a parking permit or disability license plates should complete this application.

How to submit it

For a parking permit, take the completed application to the issuing agent in the city, town, or village where you live; do not send it to DMV. For license plates, bring it to a Motor Vehicles office.

About notarization

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

How to submit this form

1
Download The Application
Download the application and read pages 1 and 2 before completing the application on page 3.
2
Complete Part 1
Provide the person with the disability’s information, choose a parking permit or license plates, and sign and date the application.
3
Complete Medical Certification
When required, have a qualified medical professional complete the applicable medical certification section in Part 2.
4
Submit To The Appropriate Office
Take a parking permit application to your local issuing agent. Bring a license plate application to a Motor Vehicles office.

Frequently asked questions

Do I need a notary for the disability parking permit application?: No. The applicant signs and dates Part 1 without a notary. When required, a qualified medical professional completes and signs the medical certification in Part 2.
How do I submit the disability parking permit application?: Take the completed application to the issuing agent in the city, town, or village where you live. The instructions say not to send parking permit applications to DMV.
Who can apply for a parking permit or disability plates?: The instructions describe eligibility for New York residents with one or more severe disabilities that impair mobility. Permit applicants may have permanent or temporary disabilities; license plate applicants must have a permanent disability.
What information does the application ask for?: Part 1 asks for the applicant’s personal information and requested permit or plates. Part 2 covers disability details and medical certification, when required.

Need something notarized?

This Application for License Plates and/or Parking Permits for People with Disabilities doesn’t need a notary — but if you have another Alexandria form that does, a commissioned online notary can help.