Livonia, NY · Livingston County
Application for a Parking Permit for Persons With Severe Disabilities
New York residents with severe disabilities use this application to request a parking permit or disability license plates and provide personal and medical information.
At a glance
- Issued by
- City of Livonia · Livonia, Livingston County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- livoniany.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This application lets a person with a severe disability request a parking permit from a local issuing agent or apply for disability license plates through the Motor Vehicles office. The applicant completes Part 1, and a physician or podiatrist completes the medical certification in Part 2 unless the instructions describe a reason it may be waived. The form asks for contact details, disability information, and, when applicable, medical certification.
Who needs it
A New York resident with a severe disability who is applying for a parking permit or disability license plates needs this application.
How to submit it
For a parking permit, take the completed application to the issuing agent in the area where you live; call your local city, town, or village hall to find the nearest agent. For license plates, take the completed application to a Motor Vehicles office.
About notarization
This application is signed and dated without a notary; the applicant signs Part 1, and a physician or podiatrist signs Part 2 when medical certification is required.
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
Print the applicant’s information, select the requested permit or plates, provide disability details, and sign Part 1.
- 3
Get Medical Certification
Have a physician or podiatrist complete Part 2 when required; the instructions describe circumstances when certification may be waived.
- 4
Submit the Application
For a permit, take it to the local issuing agent. For license plates, take 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. A physician or podiatrist 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 to call your local city, town, or village hall to find the nearest agent.
- Who completes the medical certification?
- A medical doctor, doctor of osteopathy, or doctor of podiatric medicine completes Part 2 when medical certification is required.