Springwater, NY · Livingston County
Handicap Parking Permit Application
This application lets a person with a severe disability request a parking permit and is submitted to the issuing agent in the area where the person lives.
What this form is
Use this application to request a parking permit for a person with a permanent or temporary disability that limits mobility. The applicant completes Part 1, and a medical doctor, doctor of osteopathy, or doctor of podiatric medicine completes Part 2, unless the instructions describe a medical-certification waiver. The form also includes information about eligibility, applying through a local issuing agent, and permit use.
Who needs it
A person with a qualifying disability, or their parent or guardian, can complete this application to request a parking permit from a local issuing agent.
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 out where the nearest permit issuing agent is located.
About notarization
This document 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 Handicap Parking Permit Application PDF.
- 2
Complete Part 1
Print your information in Part 1 and sign and date the application.
- 3
Complete Medical Certification
Have a medical doctor, doctor of osteopathy, or doctor of podiatric medicine complete Part 2, unless the instructions describe a waiver.
- 4
Submit To The Issuing Agent
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.
Frequently asked questions
- Do I need a notary for the Handicap Parking Permit Application?
- No. The application does not require notarization; the applicant and medical professional sign and date their respective sections.
- How do I submit the Handicap 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?
- Part 2 must be completed by a medical doctor, doctor of osteopathy, or doctor of podiatric medicine, unless the instructions describe a waiver of medical certification.
Need something notarized?
This Handicap Parking Permit Application doesn’t need a notary — but if you have another Springwater form that does, a commissioned online notary can help.