Chester, NY · Orange County
Certification for an Additional Set of License Plates for Persons With Disabilities
Disabled registrants use this certification to request an additional set of disability license plates for a vehicle driven by a disabled family member.
What this form is
This certification is for a disabled registrant requesting an additional set of license plates for persons with disabilities for another vehicle registered in the registrant’s name. The form describes eligibility conditions and asks for identifying and license plate information for the registrant and disabled family member. A physician’s statement confirming the family member’s severe disability must be attached to the registrant’s application.
Who needs it
A disabled registrant with an existing disability plate set may use this form when a disabled family member who lives with them usually drives another vehicle registered in the registrant’s name.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This certification is signed without a notary; attach the disabled family member’s physician statement, and the signer signs and dates the form.
How to submit this form
- 1
Download The Form
Download the additional set of license plates certification PDF.
- 2
Complete The Form
Enter the requested information for the disabled registrant and family member, including license and plate details.
- 3
Gather The Attachment
Attach the physician’s statement confirming the disabled family member’s severe disability.
- 4
Sign And Date
The disabled registrant signs the certification and enters the date.
- 5
Submit The Application
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Do I need a notary for the additional plates certification?
- No. This certification is signed without a notary. Attach the disabled family member’s physician statement confirming severe disability, then sign and date the form.
- Who qualifies to request an additional set of disability plates?
- The disabled registrant must already have disability plates, have another vehicle registered in their name, and have a disabled family member who lives with them and usually drives that vehicle.
- What attachment does the application require?
- The disabled family member must qualify as severely disabled, and a physician’s statement confirming that must be attached to the registrant’s application.
- How do I submit the certification?
- The form does not provide submission instructions. Submit it to the city department named on the form; check the city website for current contact details.