Do I need a notary for the severe disability parking application?

No. The applicant and any certifying medical professional sign and date their sections; the document does not require notarization.

How do I submit a parking permit application?

Take the completed application to the city, town, or village that issues permits where you live. The instructions say to call your local office to find where to bring it.

Can I use this application to request special license plates?

Yes. The form covers special license plates for permanent disabilities. The vehicle must be registered to the person with the disability, and the application goes to a Motor Vehicles office.

Do I need medical certification to renew a permanent parking permit?

The instructions say medical certification is not required to renew a parking permit for a permanent disability; complete Part 1.

Bloomfield, NY · Ontario County

No notary required

Application for a Parking Permit or License Plates for Persons with Severe Disabilities

This application lets people with severe disabilities request a parking permit or special license plates, with medical certification when required.

What this form is

Use this application to request a parking permit from the local municipality where you live or special license plates from a Motor Vehicles office. The form asks for the applicant’s contact and disability information, the requested permit or plates, and medical certification when required. First-time parking permit applicants generally need medical certification; renewals for permanent-disability permits do not.

Who needs it

A person with a severe disability who wants a parking permit or special license plates can complete this application, with a medical professional completing applicable certification.

How to submit it

For a parking permit, take the completed application to the city, town, or village that issues permits where you live; call your local office to find where to bring it. For special license plates, take it to a Motor Vehicles office.

About notarization

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

How to submit this form

1
Download The Application
Download the application and read pages 1 and 2 before completing the application on page 3.
2
Complete The Applicant Section
Fill out Part 1 with the applicant’s information and indicate whether you want a parking permit, renewal, or special plates.
3
Gather Medical Certification
If required, have an eligible medical professional complete Part 2. First-time parking permit applicants need certification; permanent-permit renewals do not.
4
Submit To The Appropriate Office
Take a parking permit application to the issuing local municipality where you live. Take a special license plate application to a Motor Vehicles office.

Frequently asked questions

Do I need a notary for the severe disability parking application?: No. The applicant and any certifying medical professional sign and date their sections; the document does not require notarization.
How do I submit a parking permit application?: Take the completed application to the city, town, or village that issues permits where you live. The instructions say to call your local office to find where to bring it.
Can I use this application to request special license plates?: Yes. The form covers special license plates for permanent disabilities. The vehicle must be registered to the person with the disability, and the application goes to a Motor Vehicles office.
Do I need medical certification to renew a permanent parking permit?: The instructions say medical certification is not required to renew a parking permit for a permanent disability; complete Part 1.

Need something notarized?

This Application for a Parking Permit or License Plates for Persons with Severe Disabilities doesn’t need a notary — but if you have another Bloomfield form that does, a commissioned online notary can help.