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.

Who completes the medical certification?

For permanent disabilities, eligible certifiers include a medical doctor, doctor of osteopathy, physician assistant, nurse practitioner, or podiatric physician when the disability involves podiatry. Temporary disabilities require a medical doctor or doctor of osteopathy.

Where do I apply for license plates?

Bring the completed application to a Motor Vehicles office. The vehicle must be registered to the person with the disability, and the disability must be permanent.

Caledonia, NY · Livingston 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 to request a parking permit or license plates, with medical certification when required.

What this form is

The application lets a person with a severe disability request a parking permit or license plates. For a parking permit, take the completed application to the issuing agent for the city, town, or village where you live; for license plates, bring it to a Motor Vehicles office. It asks for personal details, the requested benefit, disability information, and medical certification when applicable.

Who needs it

People with severe disabilities who want a parking permit or license plates can complete this application, with a medical professional completing the certification when required.

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. For license plates, bring it to a Motor Vehicles office.

About notarization

This document is signed and dated without a notary; the applicant and medical professional sign their respective sections.

How to submit this form

1
Download the Application
Download the application and read pages 1 and 2 before completing page 3.
2
Complete Part 1
Fill in the applicant’s information, select parking permit or license plates, and sign Part 1.
3
Get Medical Certification
When required, have an eligible medical professional complete the applicable certification in Part 2.
4
Submit the Application
For a parking permit, take it to your local issuing agent; for license plates, bring it to a Motor Vehicles office.

Frequently asked questions

Do I need a notary for the severe disability parking application?: No. This application is signed and dated without a notary; the applicant and medical professional sign their respective sections.
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.
Who completes the medical certification?: For permanent disabilities, eligible certifiers include a medical doctor, doctor of osteopathy, physician assistant, nurse practitioner, or podiatric physician when the disability involves podiatry. Temporary disabilities require a medical doctor or doctor of osteopathy.
Where do I apply for license plates?: Bring the completed application to a Motor Vehicles office. The vehicle must be registered to the person with the disability, and the disability must be permanent.

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