Avon, NY · Livingston County
Accessible Parking Permit Application
This application lets a person with a severe disability request a parking permit or license plates by providing personal information and medical certification.
What this form is
Use this application to request a parking permit or license plates for a person with a severe disability that impairs mobility. The applicant completes Part 1, and a qualified medical professional completes Part 2 when medical certification is required; the form describes eligibility for permanent and temporary disabilities. For a parking permit, the completed application goes to the issuing agent for the city, town, or village where the applicant lives, not to the Department of Motor Vehicles.
Who needs it
A New York resident with a severe disability affecting mobility may use this application to request a parking permit or disability license plates.
How to submit it
For a parking permit, take the completed application to the appointed issuing agent for the city, town, or village where you live; do not send it to the Department of Motor Vehicles.
About notarization
This application is signed without a notary; the applicant and medical professional sign and date their respective sections.
How to submit this form
- 1
Download The Application
Download the Accessible Parking Permit Application PDF.
- 2
Complete Part 1
Enter the applicant’s information, select the requested permit or plates, and sign and date Part 1.
- 3
Complete Medical Certification
If medical certification is required, have a qualified medical professional complete and sign the relevant section of Part 2.
- 4
Submit To The Issuing Agent
For a parking permit, take the completed application to the appointed issuing agent for the city, town, or village where you live.
Frequently asked questions
- What does the Accessible Parking Permit Application request?
- It is used to request a parking permit or license plates for a person with a severe disability. The applicant completes Part 1, and medical certification may be required in Part 2.
- Who can apply for a parking permit?
- The application instructions say a resident with one or more severe disabilities that impair mobility may be eligible. The form includes criteria for permanent and temporary disabilities.
- 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. Do not send a parking permit application to the Department of Motor Vehicles.
- Do I need a notary for the Accessible Parking Permit Application?
- No. This application is signed without a notary; the applicant and medical professional sign and date their respective sections.
Need something notarized?
This Accessible Parking Permit Application doesn’t need a notary — but if you have another Avon form that does, a commissioned online notary can help.