Middleport, NY · Niagara County
Severe Disability Parking Permit or License Plate Application
This application is for New York residents with severe disabilities seeking a parking permit or disability license plates.
At a glance
- Issued by
- City of Middleport · Middleport, Niagara County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- middleportny.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
The application lets a person with a severe disability apply for a parking permit or license plates, depending on the applicant’s needs and eligibility. Applicants complete Part 1, and a medical professional completes the applicable certification in Part 2 unless certification is waived as described in the instructions. The packet explains which conditions qualify and how to apply through a local issuing agent or Motor Vehicles office.
Who needs it
New York residents with a severe disability who want a parking permit or disability license plates use this application.
How to submit it
For a parking permit, take the completed application to the appointed issuing agent in the city, town, or village where you live; call your local hall to find an agent. For license plates, bring the completed application to a Motor Vehicles office.
About notarization
This document is signed without a notary; the medical professional signs the certification, and the applicant signs and dates Part 1.
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
Enter the applicant’s information, select a parking permit or license plates, and sign and date Part 1.
- 3
Get Medical Certification
Have an eligible medical professional complete the applicable certification in Part 2, unless the instructions’ waiver conditions apply.
- 4
Submit The Application
For a parking permit, take it to your local issuing agent; for license plates, bring it to a Motor Vehicles office.
Frequently asked questions
- Who can use the severe disability parking permit application?
- A New York resident with one or more severe disabilities that impair mobility may apply for a parking permit or license plates, subject to the form’s eligibility criteria.
- Do I need a notary for the severe disability parking permit application?
- No. The applicant signs Part 1 and the medical professional signs the applicable medical certification in Part 2; neither section calls for notarization.
- How do I submit the parking permit application?
- Take the completed application to the appointed issuing agent for your city, town, or village. Call your local hall to find the nearest agent; do not send a parking permit application to DMV.
- Where do I apply for disability license plates?
- Bring the completed application to a Motor Vehicles office. The instructions state that the disability must be permanent and the vehicle must be registered to the person with the disability.