Manchester, NY · Ontario County

No notary required

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

New York residents with severe disabilities use this application to request a parking permit from their local municipality or special license plates from the DMV.

At a glance

Issued by
City of Manchester · Manchester, 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

This application lets eligible New York residents request a parking permit from the municipality where they live or apply for special license plates through the DMV. It asks for the applicant’s contact and disability information, the requested option, and, when applicable, medical certification from an eligible professional. First-time parking permit applicants and license plate applicants generally need medical certification; permanent-permit renewals do not.

Who needs it

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

How to submit it

For a parking permit, take the completed application to the local municipality that issues permits where you live; call your local city, town, or village office to find out where. Do not send parking permit applications to the DMV.

About notarization

This application is signed without a notary; when required, an eligible medical professional completes and signs the medical certification section.

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 information, select a parking permit or license plates, and sign Part 1.

  3. 3

    Gather Medical Certification

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

  4. 4

    Submit The Application

    For a parking permit, take the application to the local municipality that issues permits where you live.

Frequently asked questions

Do I need a notary for the disability parking application?
No. The application is signed without a notary. When required, an eligible medical professional completes and signs the medical certification section.
How do I submit a parking permit application?
Take the completed application to the local municipality that issues permits where you live. The instructions say to call your local city, town, or village office to find out where to bring it.
Who can apply for a parking permit?
The instructions say New York residents with one or more severe disabilities that impair mobility may be eligible. Applicants do not need a driver license or vehicle.
Can I use this application to request special license plates?
Yes. The application includes a special license plate option. 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 Manchester form that does, a commissioned online notary can help.