Geneseo, NY · Livingston County
Application for a Parking Permit for Persons With Severe Disabilities
This New York State application is for people with severe disabilities seeking a parking permit or license plates, with medical certification completed by a qualified doctor when required.
At a glance
- Issued by
- City of Geneseo · Geneseo, Livingston County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- geneseony.org
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Use this application to request a parking permit or license plates for a person with a qualifying severe disability. For a parking permit, complete Part 1 and have a physician or podiatrist complete Part 2 unless the issuing agent waives medical certification under the conditions described. The form also explains the separate process for license plates and the information needed to support the application.
Who needs it
A person with a severe disability, or their parent or guardian, may complete Part 1 to apply for a parking permit or license plates.
How to submit it
For a parking permit, take the completed application to the issuing agent in the area where you live; do not send it to the Department of Motor Vehicles. Bring a New York State driver license or ID card if you have one.
About notarization
This application does not require a notary; the applicant or parent or guardian signs and dates Part 1, and a physician or podiatrist signs and dates the medical certification in Part 2 when required.
How to submit this form
- 1
Download The Application
Download the application for a parking permit or license plates for a person with a severe disability.
- 2
Complete Part 1
Fill in the applicant information, select whether you are applying for a permit or plates, and sign and date Part 1.
- 3
Get Medical Certification
Have a physician or podiatrist complete Part 2 when required, or follow the form's instructions for possible medical certification waivers.
- 4
Submit To The Issuing Agent
For a parking permit, take the completed application to the issuing agent in the area where you live.
Frequently asked questions
- Do I need a notary for the severe disability parking permit application?
- No. The application has no notary block. The applicant or parent or guardian signs Part 1, and a physician or podiatrist completes and signs Part 2 when medical certification is required.
- How do I submit the parking permit application?
- Take the completed application to the issuing agent in the area where you live. The instructions say not to send a parking permit application to the Department of Motor Vehicles.
- Who completes the medical certification?
- Part 2 must be completed by a medical doctor, doctor of osteopathy, or doctor of podiatric medicine. The issuing agent may waive medical certification in the circumstances described in the instructions.
- Can I use this application to apply for license plates?
- Yes. The form covers both parking permits and license plates. License plate applicants follow the separate instructions on the form and apply through a Motor Vehicles office.