Annsville, NY · Oneida County

No notary required

Application for License Plates or Parking Permits for Persons With Severe Disabilities

This application lets a person with a severe disability request disability license plates or a parking permit, with medical certification completed when required.

What this form is

Use this application to request license plates or a parking permit for a person whose severe disability impairs mobility. The applicant completes Part 1, and a physician or podiatrist completes the medical certification in Part 2 unless an exception described in the instructions applies. The form asks for the applicant’s identifying information and request, plus disability details and medical provider information.

Who needs it

A New York resident with a severe mobility-related disability, or a parent or guardian signing for that person, may use this application.

How to submit it

For a parking permit, take the completed application to the issuing agent in your area; call your local city, town, or village hall to find where to apply. For license plates, bring it to any Motor Vehicles office.

About notarization

This document is signed without a notary; the applicant and medical provider sign and date their sections, with no notarized or sworn attachment mentioned.

How to submit this form

  1. 1

    Download The Application

    Download the application for disability license plates or a parking permit.

  2. 2

    Complete Part 1

    Provide the person with the disability’s information and indicate whether applying for plates or a parking permit.

  3. 3

    Complete Medical Certification

    Have a physician or podiatrist complete Part 2 when medical certification is required.

  4. 4

    Submit The Application

    Take a parking permit application to the local issuing agent, or bring a license plate application to any Motor Vehicles office.

Frequently asked questions

Do I need a notary for the disability plates or parking permit application?
No. The applicant and medical provider sign and date their sections; the document does not mention a notarized or sworn attachment.
How do I submit the disability parking permit application?
Take the completed application to the issuing agent in your area. The instructions say to call your local city, town, or village hall to find where to apply.
Who completes the medical certification?
A physician or podiatrist completes Part 2. The instructions describe exceptions to medical certification for certain applicants with an obvious, visually identifiable disability.
Where do I take an application for disability license plates?
The instructions say to bring the completed application to any Motor Vehicles office. They also describe additional registration materials that may be needed.

Need something notarized?

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