How do I submit the 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 DMV.

What information does the application ask for?

It asks for the applicant’s personal information and disability details, along with a medical professional’s certification.

Who handles disability license plates?

The application directs people applying for disability license plates to apply to DMV. Parking permit applications go to the local issuing agent.

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 from their local municipality or disability license plates from DMV.

What this form is

This New York State application is for people with severe disabilities applying for a parking permit or disability license plates. For a parking permit, the applicant takes the completed form to the local issuing agent where they live; license plates are handled by DMV. The form requests personal information, disability details, and a medical professional’s certification.

Who needs it

A person with a severe disability applying for a parking permit through their local municipality or for disability license plates through DMV needs this application.

How to submit it

Take the completed application to the issuing agent (local municipality) in the city, town, or village where you live; do not send it to DMV.

About notarization

This application is signed and dated without a notary; the medical professional also signs and dates the certification.

How to submit this form

1
Download the Application
Download the application for a parking permit or disability license plates.
2
Complete the Applicant Section
Provide the requested personal information and disability details, and sign and date the application.
3
Get Medical Certification
Have a medical professional complete, sign, and date the medical certification.
4
Submit to the Right Issuing Agent
For a parking permit, take the completed application to the local issuing agent where you live; do not send it to DMV.

Frequently asked questions

Do I need a notary for the disability parking permit application?: No. This application is signed and dated without a notary; the medical professional also signs and dates the certification.
How do I submit the 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 DMV.
What information does the application ask for?: It asks for the applicant’s personal information and disability details, along with a medical professional’s certification.
Who handles disability license plates?: The application directs people applying for disability license plates to apply to DMV. Parking permit applications go to the local issuing agent.

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.