Bristol, NY · Ontario County

No notary required

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

This application lets eligible New York residents with severe disabilities request a parking permit or special license plates by completing personal and disability information.

At a glance

Issued by
City of Bristol · Bristol, Ontario County, New York
Notarization
Not required: file this form without a notary.
Official source
dmv.ny.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 municipality where you live or special license plates from a Motor Vehicles office. It asks for the applicant’s contact and disability information, the requested permit or plates, and medical certification when required. The instructions distinguish first-time and renewal parking permit applications and require permanent disability for special plates.

Who needs it

A New York resident with a severe disability can use this application to request a parking permit or, for a permanent disability, special license plates.

How to submit it

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

About notarization

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

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 the Application

    Fill out Part 1. For a first-time parking permit or special plates, have an eligible medical professional complete the required Part 2 certification.

  3. 3

    Gather Required Documents

    If you have a New York State driver license or non-driver ID, show it when submitting a parking permit application.

  4. 4

    Submit the Application

    Take a parking permit application to the issuing municipality where you live, or bring a special-plates application to a Motor Vehicles office.

Frequently asked questions

Do I need a notary for the disability parking application?
No. This application is signed and dated without a notary; the applicant and certifying medical professional sign their respective sections.
How do I submit a parking permit application?
Take the completed application to the city, town, or village that issues parking permits where you live. The instructions say not to send it to the Department of Motor Vehicles.
Where do I apply for special disability license plates?
Bring the completed application to a Motor Vehicles office. The instructions say the disability must be permanent and the vehicle must be registered to the person with the disability.

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 Bristol form that does, a commissioned online notary can help.