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

No. The applicant signs Part 1 without a notary. When required, a medical professional completes and signs Part 2.

Who completes the medical certification?

When required, a physician, physician assistant, nurse practitioner, podiatrist for foot-related disabilities, or optometrist for blindness completes Part 2.

Can I use this application to request special license plates?

Yes. The application covers parking permits and special plates. For plates, the disability must be permanent, and you bring the completed application to a Motor Vehicles office.

New Bremen, NY · Lewis County

No notary required

Parking Permit or License Plates for Persons With Severe Disabilities Application

This application is for New Bremen residents with severe disabilities seeking a parking permit or special license plates, and includes instructions for completing and submitting it.

At a glance

Issued by: City of New Bremen · New Bremen, Lewis County, New York
Notarization: Not required: file this form without a notary.
Official source: dmv.ny.gov
Blank form: Download the PDF
Catalogued: Sep 28, 2026
Machine-readable: JSON record · about the forms index

What this form is

The packet explains eligibility and how to apply for a disability parking permit or special license plates. Applicants complete Part 1; first-time permit applicants and applicants for plates generally need a medical professional to complete Part 2, subject to the exceptions described in the instructions. For a parking permit, take the completed application to the local municipality that issues permits where you live; license plate applications are handled at a Motor Vehicles office.

Who needs it

New Bremen residents with a severe disability who want a parking permit or special license plates should complete the application and follow the instructions for their request.

How to submit it

For a parking permit, take the completed application to the local municipality that issues permits where you live; do not send it to the Department of Motor Vehicles. For special plates, bring the completed application to any Motor Vehicles office.

About notarization

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

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 Part 1 with the information requested and sign it.
3
Gather Medical Certification
If required for your request, have an eligible medical professional complete Part 2.
4
Submit Your Application
For a parking permit, take it to the local issuing municipality where you live. For special plates, bring it to a Motor Vehicles office.

Frequently asked questions

Do I need a notary for the disability parking permit application?: No. The applicant signs Part 1 without a notary. When required, a medical professional completes and signs Part 2.
How do I submit a parking permit application?: Take the completed application to the local municipality that issues permits where you live. Do not send it to the Department of Motor Vehicles.
Who completes the medical certification?: When required, a physician, physician assistant, nurse practitioner, podiatrist for foot-related disabilities, or optometrist for blindness completes Part 2.
Can I use this application to request special license plates?: Yes. The application covers parking permits and special plates. For plates, the disability must be permanent, and you bring the completed application to a Motor Vehicles office.

Need something notarized?

This Parking Permit or License Plates for Persons With Severe Disabilities Application doesn’t need a notary, but if you have another New Bremen form that does, a commissioned online notary can help.