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

No. The applicant and certifying medical professional sign and date their sections; the application does not require notarization.

Who completes the medical certification?

A qualified medical professional completes and signs the medical certification. The application lists which professionals may certify permanent and temporary disabilities.

Can I use this application for disability license plates?

Yes. The application includes an option for license plates, which the form directs applicants to request through the Department of Motor Vehicles.

Philadelphia, NY · Jefferson County

No notary required

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

This application is for people with severe disabilities seeking a parking permit through their local municipality or disability license plates through the Department of Motor Vehicles.

What this form is

The application collects the applicant’s contact and disability information and includes a medical certification section. People applying for a parking permit should take the completed application to the issuing agent in the municipality where they live; license plate applications are directed to the Department of Motor Vehicles.

Who needs it

A person with a severe disability seeking a parking permit or disability license plates, with medical certification completed as applicable, uses 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 a parking permit application to the Department of Motor Vehicles.

About notarization

No notary is required; the applicant and certifying medical professional sign and date their sections on the application.

How to submit this form

1
Download The Application
Download the application for a parking permit or disability license plates.
2
Complete Applicant Information
Print your personal information, select whether you are applying for plates or a permit, and sign and date the applicant section.
3
Get Medical Certification
Have a qualified medical professional complete and sign the medical certification section.
4
Submit The Application
For a parking permit, take the completed application to the issuing agent in the municipality where you live.

Frequently asked questions

Do I need a notary for the disability parking permit application?: No. The applicant and certifying medical professional sign and date their sections; the application does not require notarization.
How do I submit a parking permit application?: Take the completed application to the issuing agent in the city, town, or village where you live. Do not send a parking permit application to the Department of Motor Vehicles.
Who completes the medical certification?: A qualified medical professional completes and signs the medical certification. The application lists which professionals may certify permanent and temporary disabilities.
Can I use this application for disability license plates?: Yes. The application includes an option for license plates, which the form directs applicants to request through the Department of Motor Vehicles.

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