Remsen, NY · Oneida County

No notary required

Accessible Parking Permit Application

This application is for people with qualifying mobility disabilities who are seeking a parking permit or disability license plates.

At a glance

Issued by
City of Remsen · Remsen, Oneida County, New York
Notarization
Not required: file this form without a notary.
Official source
remsenny.gov
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

Use this application to request a parking permit from the local issuing agent or disability license plates from the Department of Motor Vehicles. For a parking permit, complete Part 1 and take the application to the appointed issuing agent in the city, town, or village where you live. It asks for the applicant’s contact and disability information, and includes medical certification for qualifying conditions.

Who needs it

A person with a qualifying disability, or their parent or guardian, can apply for a parking permit or disability license plates using 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 city, town, or village hall to find the nearest agent.

About notarization

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

How to submit this form

  1. 1

    Download the Application

    Download the application and read pages 1 and 2 before completing page 3.

  2. 2

    Complete Part 1

    Fill in the applicant’s information and sign Part 1. A parent or guardian may sign for the person with the disability.

  3. 3

    Get Medical Certification

    When required, have an eligible medical professional complete and sign the applicable certification in Part 2.

  4. 4

    Submit the Application

    For a parking permit, take the completed application to the appointed local issuing agent. Call your local hall to locate the nearest agent.

Frequently asked questions

Do I need a notary for the Accessible Parking Permit Application?
No. The application does not require notarization. The applicant signs Part 1, and a medical professional signs Part 2 when medical certification is required.
How do I submit the Accessible Parking Permit Application?
For a parking permit, take the completed application to the appointed issuing agent where you live. Call your local city, town, or village hall to find the nearest agent.
Can I use this application to request disability license plates?
Yes. Complete Part 1 and the permanent-disability medical certification in Part 2, then bring the application to a Motor Vehicles office.

Need something notarized?

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