Chester, NY · Orange 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 a local issuing agent or disability license plates from DMV.

At a glance

Issued by
City of Chester · Chester, Orange County, New York
Notarization
Not required: file this form without a notary.
Official source
villageofchesterny.gov
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

This application is for people with severe disabilities that impair mobility who are seeking a parking permit or license plates. Complete Part 1 and have a medical professional complete the applicable certification in Part 2; the medical certification requirements differ for permanent and temporary disabilities. Take a parking permit application to the appointed issuing agent where you live, or bring a license plate application to a Motor Vehicles office.

Who needs it

A person with a mobility-related severe disability applies using this form, with a parent or guardian signing Part 1 when applicable.

How to submit it

For a parking permit, take the completed application to the appointed issuing agent where you live; call your local city, town, or village hall to find one. For license plates, bring the completed application to any Motor Vehicles office.

About notarization

This document is signed without a notary; the applicant and medical professional sign their respective sections, and the form does not call for a sworn or notarized attachment.

How to submit this form

  1. 1

    Download The Application

    Download the application and read pages 1 and 2 before completing the form on page 3.

  2. 2

    Complete Part 1

    Fill in the information about the person with the disability and sign Part 1.

  3. 3

    Get Medical Certification

    Have an eligible medical professional complete the applicable certification in Part 2.

  4. 4

    Submit The Application

    For a parking permit, take it to your local issuing agent. For license plates, bring it to a Motor Vehicles office.

Frequently asked questions

Do I need a notary for the severe disability parking application?
No. The form has signature sections for the applicant and medical professional but does not require notarization or a sworn attachment.
How do I submit the parking permit application?
Take the completed application to the appointed issuing agent for the city, town, or village where you live. The instructions say to call your local hall to find the nearest agent.
Where do I apply for disability license plates?
Bring the completed application to any Motor Vehicles office. The document says the vehicle must be registered to the person with the disability, and the disability must be permanent.
Who completes the medical certification?
A medical professional completes Part 2. The form lists different eligible professionals for permanent and temporary disabilities; temporary disabilities may be certified only by a Medical Doctor or Doctor of Osteopathy.

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