Do I need a notary for the disabled parking permit application?

No. The applicant signs Part 1 without a notary. An eligible medical professional signs Part 2 when medical certification is required.

Who can apply for a disability parking permit?

The instructions say New York residents with one or more severe disabilities that impair mobility may be eligible. Children and people who are legally blind may also qualify.

Is medical certification required?

Many applicants need an eligible medical professional to complete Part 2. The instructions describe exceptions for some permanent disabilities.

Malverne, NY · Nassau County

No notary required

Application for a Parking Permit or License Plates for Persons With Severe Disabilities

New York residents with severe disabilities use this application to request a disability parking permit or license plates, with medical certification required for many applicants.

What this form is

This application is used to request a parking permit or license plates for a person with a severe disability. Applicants complete Part 1, and many must have an eligible medical professional complete Part 2; the instructions describe exceptions for some permanent disabilities. Nassau County residents are directed to call the county Office of the Physically Challenged to find out where to apply for a permit.

Who needs it

A New York resident with a severe disability may use this application to request a parking permit or, for a permanent disability, license plates.

How to submit it

Nassau County residents should call the Nassau County Office of the Physically Challenged at (516) 227-7399 to find out where to apply for a permit. Do not send a parking permit application to DMV.

About notarization

This document is signed without a notary; the applicant signs Part 1, and an eligible medical professional signs Part 2 when medical certification is required.

How to submit this form

1
Download The Application
Download the application and read pages 1 and 2 before completing the form on page 3.
2
Complete Part 1
Fill in the information about the person with the disability and sign Part 1.
3
Get Medical Certification
When required, have an eligible medical professional complete and sign the applicable section of Part 2.
4
Find Where To Apply
Nassau County residents should call (516) 227-7399 to find out where to apply for a permit.
5
Take The Application To The Agent
Take the completed parking permit application to the issuing agent for the municipality where you live; do not send it to DMV.

Frequently asked questions

Do I need a notary for the disabled parking permit application?: No. The applicant signs Part 1 without a notary. An eligible medical professional signs Part 2 when medical certification is required.
How do I submit the disabled parking permit application?: Nassau County residents should call the Nassau County Office of the Physically Challenged at (516) 227-7399 to find out where to apply for a permit. Do not send it to DMV.
Who can apply for a disability parking permit?: The instructions say New York residents with one or more severe disabilities that impair mobility may be eligible. Children and people who are legally blind may also qualify.
Is medical certification required?: Many applicants need an eligible medical professional to complete Part 2. The instructions describe exceptions for some permanent disabilities.

Need something notarized?

This Application for a Parking Permit or License Plates for Persons With Severe Disabilities doesn’t need a notary — but if you have another Malverne form that does, a commissioned online notary can help.