Chester, NY · Orange County

No notary required

Application for a Metered Parking Waiver for Persons With Severe Disabilities

This application is for eligible residents with severe disabilities who seek a waiver from paying parking meter fees.

What this form is

Use this application to request a metered parking waiver if you are a resident with a severe disability that makes it difficult to pay at a parking meter. The form asks for your personal and driver license information, disability-related parking permit details, and a medical certification completed by a physician, physician assistant, or doctor of osteopathy. The instructions describe the eligibility requirements and how to apply.

Who needs it

Residents seeking a metered parking waiver must meet the listed eligibility requirements and have a qualified medical professional complete the medical certification.

How to submit it

Bring the completed application and your New York State driver license to the issuing agent in your area. The instructions say to call your local city, town, or village hall to find out where to apply.

About notarization

This document is signed without a notary; the applicant and medical professional sign and date their sections, with original medical professional signatures required.

How to submit this form

  1. 1

    Download the Application

    Download the metered parking waiver application and its instructions.

  2. 2

    Complete Your Information

    Print your personal and driver license information, answer the questions about disability-related plates or permits, and sign and date your section.

  3. 3

    Get Medical Certification

    Have a physician, physician assistant, or doctor of osteopathy complete, sign, and date the medical certification. The instructions require an original signature.

  4. 4

    Submit to the Issuing Agent

    Bring the completed application and your New York State driver license to the issuing agent in your area. Contact your local hall to find out where to apply.

Frequently asked questions

Who can apply for a metered parking waiver?
Applicants must meet the form's eligibility requirements, including local residency, a valid New York State driver license, and severe disabilities certified by a qualified medical professional.
What information does the application ask for?
It requests the applicant's personal and driver license details and information about disability-related plates or permits. A physician, physician assistant, or doctor of osteopathy completes the medical certification.
Do I need a notary for the metered parking waiver application?
No. The applicant and medical professional sign and date their sections; the instructions require an original medical professional signature, but do not require notarization.
How do I submit the metered parking waiver application?
Bring the completed application and your New York State driver license to the issuing agent in your area. Call your local city, town, or village hall to find out where to apply.

Need something notarized?

This Application for a Metered Parking Waiver for Persons With Severe Disabilities doesn’t need a notary — but if you have another Chester form that does, a commissioned online notary can help.