Who can apply for a parking permit with this form?

The packet says New York residents with one or more severe disabilities that impair mobility may be eligible. A permit may be issued for a permanent or temporary disability.

What information and certification does the application require?

Part 1 asks for the applicant’s information and signature. Part 2 describes qualifying disabilities and includes medical certification; the required certifier depends on the disability type.

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

No. This application is signed without a notary. The applicable medical certification must be completed and signed by an eligible medical professional.

How do I submit the Accessible Parking Permit Application?

Take the completed application to the appointed permit issuing agent for the city, town, or village where you live. Show your New York State driver license or non-driver ID if you have one.

Remsen, NY · Oneida County

No notary required

Accessible Parking Permit Application

This application is for Remsen residents with qualifying disabilities who are requesting a permanent or temporary accessible parking permit.

What this form is

Use this application to request a parking permit for a permanent or temporary disability. The packet says to complete Part 1 and have an eligible medical professional complete the applicable medical certification in Part 2, unless certification may be waived for a permanent disability. It asks for the applicant’s contact and disability information, the medical certification, and the issuing agent’s file information.

Who needs it

A Remsen resident with a qualifying disability who wants a permanent or temporary parking permit should complete this application.

How to submit it

Take the completed application to the appointed permit issuing agent for the city, town, or village where you live. If you have a New York State driver license or non-driver ID, show it to the issuing agent.

About notarization

This application is signed without a notary; the applicable medical certification is completed and signed by an eligible medical professional.

How to submit this form

1
Download The Application
Download the Accessible Parking Permit Application PDF.
2
Complete Part 1
Fill in the applicant information in Part 1 and sign as directed.
3
Get Medical Certification
Have an eligible medical professional complete the applicable medical certification in Part 2, unless certification may be waived for a permanent disability.
4
Submit To The Issuing Agent
Take the completed application to the appointed permit issuing agent for the city, town, or village where you live.

Frequently asked questions

Who can apply for a parking permit with this form?: The packet says New York residents with one or more severe disabilities that impair mobility may be eligible. A permit may be issued for a permanent or temporary disability.
What information and certification does the application require?: Part 1 asks for the applicant’s information and signature. Part 2 describes qualifying disabilities and includes medical certification; the required certifier depends on the disability type.
Do I need a notary for the Accessible Parking Permit Application?: No. This application is signed without a notary. The applicable medical certification must be completed and signed by an eligible medical professional.
How do I submit the Accessible Parking Permit Application?: Take the completed application to the appointed permit issuing agent for the city, town, or village where you live. Show your New York State driver license or non-driver ID if you have one.

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.