Dexter, NY · Jefferson County
Application for a Parking Permit or License Plates for Persons with Severe Disabilities
This application is for residents seeking a parking permit or disability license plates based on a severe disability.
At a glance
- Issued by
- City of Dexter · Dexter, Jefferson County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- villageofdexterny.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Use this application to request a parking permit from your local issuing agent or license plates from a Motor Vehicles office. The packet explains eligibility and where to apply; the permit application is submitted to the issuing agent in the city, town, or village where you live, not to the Department of Motor Vehicles. It asks for the applicant’s contact and disability information, a requested permit or plates, and medical certification when required.
Who needs it
A resident with a severe disability who wants a parking permit or, for a permanent disability, license plates can use this application.
How to submit it
For a parking permit, take the completed application to the appointed issuing agent in the city, town, or village where you live. For license plates, bring the completed application to a Motor Vehicles office.
About notarization
This application is signed and dated without a notary; its medical certification is completed and signed by a qualified medical professional.
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’s information, select a parking permit or license plates, and sign and date Part 1.
- 3
Get Medical Certification
Have a qualified medical professional complete Part 2 when medical certification is required for the requested permit or plates.
- 4
Gather Any Required Attachments
If applying for plates, attach a copy of the vehicle registration when you already have disability plates; NYC residents must attach a copy of their driver license or non-driver ID.
- 5
Submit The Application
For a permit, take it to the appointed local issuing agent. For plates, bring it to a Motor Vehicles office.
Frequently asked questions
- Who can apply for a disability parking permit?
- The packet says New York residents with one or more severe disabilities that impair mobility may be eligible. Children and people who are not drivers or vehicle owners may also qualify.
- 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. The packet says not to send parking permit applications to the Department of Motor Vehicles.
- Do I need a notary for this disability parking application?
- No. The application is signed and dated without a notary; its medical certification must be completed and signed by a qualified medical professional when required.
- What medical information does the application request?
- Part 2 asks for the disability diagnosis and applicable medical certification. For a temporary disability, it also asks for the expected recovery date and the assistive device needed.