Vernon, NY · Oneida County

No notary required

Application for Parking Permit

New York residents with severe disabilities use this application to request a parking permit or disability license plates through their local issuing agent.

At a glance

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

What this form is

This application is for New York residents with severe disabilities who seek a parking permit or license plates. Complete Part 1 and have a qualified medical professional complete the applicable certification in Part 2; the form lists separate criteria for permanent and temporary disabilities. For a parking permit, take the completed application to the issuing agent for the city, town, or village where you live, not to the Department of Motor Vehicles.

Who needs it

A New York resident with a severe disability who wants a parking permit or disability license plates should complete this application.

How to submit it

For a parking permit, take the completed application to the appointed issuing agent for the city, town, or village where you live. The form advises calling your local municipal hall to find an issuing agent.

About notarization

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

How to submit this form

  1. 1

    Download The Application

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

  2. 2

    Complete Part 1

    Fill in the information about the person with the disability and sign Part 1.

  3. 3

    Get Medical Certification

    Have a qualified medical professional complete the applicable permanent or temporary disability certification in Part 2.

  4. 4

    Submit To The Issuing Agent

    For a parking permit, take the completed application to the appointed issuing agent for the city, town, or village where you live.

Frequently asked questions

Who can use the parking permit application?
New York residents with one or more severe disabilities that impair mobility may use it to apply for a parking permit or license plates. The form describes the eligibility criteria.
How do I submit the parking permit application?
Complete Part 1, obtain the applicable medical certification in Part 2, and take the form to the appointed issuing agent for the city, town, or village where you live. Do not send a parking permit application to the DMV.
Do I need a notary for the parking permit application?
No. This application does not require notarization; the applicant and certifying medical professional sign and date their respective sections.
Can I use this form to apply for disability license plates?
Yes. The form includes an option for license plates, which require a permanent disability and a vehicle registered to the person with the disability. The instructions say to apply for plates at a Motor Vehicles office.

Need something notarized?

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