Livonia, 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 whose severe disability limits mobility. The applicant completes Part 1, and a physician or podiatrist completes Part 2 when medical certification is required. For a parking permit, take the completed application to the issuing agent in the area where you live; the instructions say to contact your local hall to find an agent.
Who needs it
A New York State resident with a severe disability who wants a parking permit or disability license plates should complete this application.
How to submit it
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 permit issuing agent.
About notarization
This application is signed without a notary; the applicant signs and dates Part 1, and a physician or podiatrist signs and dates 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
The person with the disability, or their parent or guardian, completes and signs Part 1.
- 3
Arrange Medical Certification
When required, have a physician or podiatrist complete Part 2 and return it to you.
- 4
Submit to the Issuing Agent
For a parking permit, take the completed application to the issuing agent in your area; contact your local hall to find an agent.
Frequently asked questions
- Do I need a notary for the severe disability parking permit application?
- No. The applicant signs Part 1 without a notary. When medical certification is required, a physician or podiatrist completes and signs Part 2.
- How do I submit the parking permit application?
- 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.
- Who completes the medical certification?
- A medical doctor, doctor of osteopathy, or doctor of podiatric medicine completes Part 2 when medical certification is required.
- Can I use this application for license plates?
- Yes. The application covers parking permits and license plates. The instructions say to apply for license plates at a Motor Vehicles office.