Theresa, NY · Jefferson County
Application for a Parking Permit or License Plates for Persons With Severe Disabilities
This application is for New York residents with severe disabilities who seek a disability parking permit or license plates and submit the completed form to the appropriate issuing agent.
At a glance
- Issued by
- City of Theresa · Theresa, Jefferson County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- townoftheresany.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
The packet includes instructions and an application for a parking permit or license plates for a person with a severe disability. Complete Part 1 and, when required, have an eligible medical professional complete Part 2; the instructions describe different eligibility and certification requirements for permits and plates. Take a parking permit application to the issuing agent for your municipality, or bring a license plate application to a Motor Vehicles office.
Who needs it
A New York resident with a severe disability who wants a parking permit or disability license plates should complete the application.
How to submit it
For a parking permit, take the completed application to the issuing agent for the city, town, or village where you live; do not send it to the Department of Motor Vehicles. For license plates, bring it to a Motor Vehicles office.
About notarization
This document is signed without a notary; the signer and medical professional sign their respective sections, and no notarized or sworn attachment is specified.
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 out Part 1 and select whether you are applying for a parking permit or license plates.
- 3
Gather Medical Certification
When required, have an eligible medical professional complete the appropriate medical certification section in Part 2.
- 4
Submit The Application
Take a permit application to your municipality's issuing agent, or bring a license plate application to a Motor Vehicles office.
Frequently asked questions
- Who can apply for a disability parking permit or license plates?
- The application is for New York residents with one or more severe disabilities that impair mobility. Permit and license plate requirements differ; review the packet instructions.
- How do I submit the disability parking application?
- Take a permit application to the issuing agent for your municipality. For license plates, bring the completed application to a Motor Vehicles office; do not send a permit application to the Department of Motor Vehicles.
- Do I need a notary for the disability parking application?
- No. This document is signed without a notary. The applicant and medical professional sign their respective sections; no notarized or sworn attachment is specified.