Cedarhurst, NY · Nassau County
Lost Permit Affidavit
Disabled parking permit holders use this affidavit to report a permit that is lost, stolen, or never received to the Village of Cedarhurst.
What this form is
This affidavit reports a New York State Disabled Parking Permit that is lost, stolen, or never received. The Village says it will report the incident to the police department before a new tag can be issued, with a one-week waiting period. The permit holder selects the situation, provides identifying and contact details, and signs and dates a certification agreeing to return the old permit if it is found.
Who needs it
A disabled parking permit holder should complete this affidavit when reporting a permit that is lost, stolen, or never received.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This affidavit is signed and dated without a notary; it includes no notarized or sworn attachment, so the permit holder just signs and dates it.
How to submit this form
- 1
Download The Affidavit
Download the Lost Permit Affidavit for a lost, stolen, or never-received disabled parking permit.
- 2
Complete The Form
Select the permit situation and fill in the permit holder's name, address, phone number, and driver's ID.
- 3
Check For Attachments
The form lists no attachments to gather.
- 4
Sign And Submit
Date and sign the certification, then submit the form to the city department named on it.
Frequently asked questions
- What does the Lost Permit Affidavit report?
- It lets a disabled parking permit holder report a New York State permit that is lost, stolen, or never received to the Village of Cedarhurst.
- Who completes the Lost Permit Affidavit?
- The disabled parking permit holder provides their name, address, phone number, and driver's ID, selects the reported situation, and signs and dates the certification.
- Do I need a notary for the Lost Permit Affidavit?
- No. The form has no notary block or notarized attachment; the permit holder signs and dates it. A commissioned online notary may be relevant only for other documents.
- How do I submit the Lost Permit Affidavit?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Lost Permit Affidavit doesn’t need a notary — but if you have another Cedarhurst form that does, a commissioned online notary can help.