Geneseo, NY · Livingston County
Application for a Parking Permit for Persons With Severe Disabilities
This New York State application lets a person with a severe disability request a parking permit or disability license plates.
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 physician or podiatrist completes Part 2 for medical certification, unless an allowed waiver applies. For a parking permit, take the completed application to the issuing agent in the area where you live; license plate applications go to a Motor Vehicles office.
Who needs it
A New York State 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 issuing agent in the area where you live; contact your local city, town, or village hall to find an agent. For license plates, bring the completed application to a Motor Vehicles office.
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 application for a parking permit or license plates for persons with severe disabilities.
- 2
Complete Part 1
Enter the applicant's information, select a permit or license plates, and sign and date Part 1.
- 3
Get Medical Certification
Have a physician or podiatrist complete Part 2 if medical certification is required.
- 4
Submit The Application
For a permit, take it to the 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 permit application?
- No. The applicant and medical professional sign and date their respective sections; no notary is required.
- How do I submit the parking permit application?
- Take the completed application to the issuing agent in the area where you live. Contact your local city, town, or village hall to find an agent.
- Who completes the medical certification?
- A medical doctor, doctor of osteopathy, or doctor of podiatric medicine completes Part 2. The instructions describe circumstances when medical certification may be waived.
- Can I use this application to request disability license plates?
- Yes. Complete Part 1 and bring the application to a Motor Vehicles office. License plates require a permanent disability, and the vehicle must be registered to the person with the disability.
Need something notarized?
This Application for a Parking Permit for Persons With Severe Disabilities doesn’t need a notary — but if you have another Geneseo form that does, a commissioned online notary can help.