Crawford, 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 or special license plates.

At a glance

Issued by
City of Crawford · Crawford, Orange 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 or special license plates for a person with a severe disability. For a parking permit, submit it to the local municipality that issues permits where you live; a first-time applicant generally needs medical certification, while a permanent-permit renewal does not. The form asks for the applicant’s information, requested item, disability details, and medical certification when required.

Who needs it

A person with a severe disability, or their parent or guardian, uses this application to request a parking permit or 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; do not send it to DMV. For special license plates, bring it to any Motor Vehicles office.

About notarization

This document is signed and dated without a notary; the applicant and certifying medical professional sign their respective sections, and no notarized attachment is specified.

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

    Enter the person’s information, select a parking permit or license plates, and sign Part 1.

  3. 3

    Gather Required Medical Information

    Have a qualified medical professional complete Part 2 when required; attach a copy of the permit application showing medical certification if instructed for a plate application.

  4. 4

    Submit the Application

    For a parking permit, take it to the local issuing municipality where you live. For special plates, bring it to any Motor Vehicles office.

Frequently asked questions

Do I need a notary for the severe-disability parking application?
No. The applicant signs Part 1 and the medical professional signs Part 2 when certification is required; the form does not specify a notarized attachment.
How do I submit the parking permit application?
Take the completed application to the local municipality that issues parking permits where you live. Do not send a parking permit application to DMV.
Who can apply for a parking permit or special plates?
Eligible New York residents with one or more severe disabilities that impair mobility may apply. The permit is issued to the person with the disability.
Is medical certification required?
A first-time parking permit application requires medical certification. A permanent parking permit renewal does not require another certification; special license plate applications have separate certification instructions.

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