Augusta, NY · Oneida County
Application for a Parking Permit or License Plates for Persons with Severe Disabilities
People with severe disabilities use this application to request a parking permit or disability license plates by providing personal and medical information.
What this form is
This application is for a person with a severe disability seeking a parking permit or license plates. It asks for personal information, disability details, and medical certification completed by a qualified medical professional. The applicant takes the completed application to the issuing agent in their area; license plates are applied for through the DMV.
Who needs it
A person with a severe disability, or their parent or guardian, uses this application to request a parking permit or disability license plates.
How to submit it
Take the completed application to the issuing agent in the area where you live. For license plates, the form directs applicants to apply to the DMV.
About notarization
This document is signed without a notary; the medical certification must be completed by a medical professional, and the applicant signs and dates the application.
How to submit this form
- 1
Download the Application
Download the parking permit or license plate application PDF.
- 2
Complete the Applicant Section
Provide the requested information about the person with the disability and sign and date the application.
- 3
Get Medical Certification
Have a qualified medical professional complete the medical certification section.
- 4
Submit the Application
Take the completed application to the issuing agent in your area; apply to the DMV for license plates.
Frequently asked questions
- Do I need a notary for the severe-disability parking application?
- No. The application does not require a notary. A medical professional must complete the medical certification section, and the applicant or parent or guardian signs the form.
- How do I submit the parking permit application?
- Take the completed application to the issuing agent in the area where you live. The form says to apply to the DMV for license plates.
- Who completes the medical certification?
- The form says the medical certification section must be completed by a medical doctor, doctor of osteopathy, doctor of podiatry, or nurse practitioner.
- What information does the application request?
- It requests information about the person with the disability, details about the disability and mobility limitations, and medical certification. The issuing agent section records permit information.