Do I need a notary for the Accessible Parking Permit Application?

No. The applicant signs Part 1 and the medical professional signs and dates Part 2; the form does not require a notary.

How do I submit the Accessible Parking Permit Application?

Take the completed application to the appointed issuing agent for the town where you live. Call your local town hall to find the nearest agent; do not send it to DMV.

Who can apply for a parking permit?

The instructions say a New York resident with one or more severe disabilities that impair mobility may be eligible. Applicants do not have to be drivers or vehicle owners.

Who completes the medical certification?

For a permanent disability, the listed medical professionals may certify it. A temporary disability may be certified only by a Medical Doctor or Doctor of Osteopathy.

Deerfield, NY · Oneida County

No notary required

Accessible Parking Permit Application

This application lets a person with a severe disability request a parking permit or license plates and is submitted to the local issuing agent.

What this form is

The New York State Department of Motor Vehicles form is used to apply for a parking permit or disability license plates. For a parking permit, the applicant completes Part 1 and has a qualified medical professional complete Part 2 unless the instructions’ medical-certification waiver applies. The form asks for the applicant’s personal information, requested permit or plates, disability information and medical certification; the issuing agent completes Part 3.

Who needs it

A person with a severe disability who lives in Deerfield and wants a parking permit or disability license plates needs this application.

How to submit it

Take the completed application to the appointed issuing agent for the town where you live. The instructions say to call your local town hall to find the nearest agent and not to send the application to DMV.

About notarization

This document is signed without a notary; the applicant and medical professional sign and date their respective sections.

How to submit this form

1
Download The Application
Download the Accessible Parking Permit Application and read pages 1 and 2 before completing page 3.
2
Complete Part 1
Print the applicant’s information, select a parking permit or license plates, and sign Part 1.
3
Complete Medical Certification
Have an eligible medical professional complete and sign Part 2 when medical certification is required.
4
Submit To The Issuing Agent
Take the application to the appointed issuing agent for your town. Call town hall to locate an agent; do not send it to DMV.

Frequently asked questions

Do I need a notary for the Accessible Parking Permit Application?: No. The applicant signs Part 1 and the medical professional signs and dates Part 2; the form does not require a notary.
How do I submit the Accessible Parking Permit Application?: Take the completed application to the appointed issuing agent for the town where you live. Call your local town hall to find the nearest agent; do not send it to DMV.
Who can apply for a parking permit?: The instructions say a New York resident with one or more severe disabilities that impair mobility may be eligible. Applicants do not have to be drivers or vehicle owners.
Who completes the medical certification?: For a permanent disability, the listed medical professionals may certify it. A temporary disability may be certified only by a Medical Doctor or Doctor of Osteopathy.

Need something notarized?

This Accessible Parking Permit Application doesn’t need a notary — but if you have another Deerfield form that does, a commissioned online notary can help.