Hewlett Bay Park, NY · Nassau County
Parking Permit or License Plates Application for Persons with Severe Disabilities
This application is for people with severe disabilities who seek a parking permit or disability license plates and must be completed by the applicant and, when required, a medical professional.
At a glance
- Issued by
- City of Hewlett Bay Park · Hewlett Bay Park, Nassau County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- storage.googleapis.com
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Use this application to request a parking permit from your local issuing agent or license plates from a Motor Vehicles office. The instructions say Nassau County residents should call the county Office of the Physically Challenged to find out where to apply for a permit. The form asks for the applicant’s identifying information and choice of permit or plates; a medical professional completes the certification section when required.
Who needs it
A person with a severe disability seeking a parking permit or license plates completes Part 1, with medical certification completed when required.
How to submit it
For a parking permit, take the completed application to the issuing agent for the city, town, or village where you live; Nassau County residents should call (516) 227-7399 to find where to apply. For license plates, bring the completed application to a Motor Vehicles office.
About notarization
This application is signed and dated without a notary; when required, a medical professional completes and signs the medical certification section.
How to submit this form
- 1
Download the Application
Download the application and read pages 1 and 2 before completing page 3.
- 2
Complete Part 1
Fill in the applicant information, select a parking permit or license plates, and sign and date Part 1.
- 3
Arrange Medical Certification
When required, have an eligible medical professional complete the applicable medical certification section in Part 2.
- 4
Gather Required Attachments
For license plates, attach a copy of the vehicle registration if you already have disability plates; follow the form’s instructions for any other applicable attachments.
- 5
Submit the Application
Take a permit application to your local issuing agent. For plates, bring it to a Motor Vehicles office.
Frequently asked questions
- Who can apply for a severe-disability parking permit?
- The instructions say a New York State resident with one or more severe disabilities that impair mobility may be eligible. Applicants complete Part 1, and medical certification may be required.
- How do I submit the parking permit application?
- Take the completed application to the issuing agent for your city, town, or village. Nassau County residents should call (516) 227-7399 to find out where to apply.
- Do I need a notary for this parking permit application?
- No. This application is signed and dated without a notary; when required, a medical professional completes and signs the medical certification section.
Need something notarized?
This Parking Permit or License Plates Application for Persons with Severe Disabilities doesn’t need a notary, but if you have another Hewlett Bay Park form that does, a commissioned online notary can help.