How do I submit the parking permit or license plates application?

Take a parking permit application to the issuing agent for your city, town, or village. For license plates, bring the completed application to a Motor Vehicles office.

Who can apply for a disability parking permit?

The instructions say a New York State resident with one or more severe disabilities that impair mobility may be eligible. Applicants do not have to be drivers or vehicle owners.

Goshen, NY · Orange County

No notary required

Severe Disability Parking Permit or License Plates Application

This application is for people with severe disabilities who want a parking permit or disability license plates and submit it to the appropriate issuing agent or Motor Vehicles office.

At a glance

Issued by: City of Goshen · Goshen, Orange County, New York
Notarization: Not required: file this form without a notary.
Official source: villageofgoshen-ny.gov
Blank form: Download the PDF
Catalogued: Sep 28, 2026
Machine-readable: JSON record · about the forms index

What this form is

The application requests a parking permit or license plates for a person with a severe disability. The applicant completes Part 1, and a medical professional completes the certification in Part 2 when required; the instructions describe different certification requirements for permanent and temporary disabilities. Parking permit applications go to the local issuing agent where the applicant lives, while license plate applications go to a Motor Vehicles office.

Who needs it

A person with a severe disability who wants a parking permit or disability license plates should complete this application and follow the instructions for their choice.

How to submit it

For a parking permit, take the completed application to the issuing agent for the city, town, or village where you live. For license plates, bring the completed application to a Motor Vehicles office.

About notarization

This document is signed without a notary; the applicant signs and dates Part 1, and a medical professional signs Part 2 when medical certification is required.

How to submit this form

1
Download the Application
Download the application and read pages 1 and 2 before completing the form on page 3.
2
Complete Part 1
Enter the applicant's information, select a parking permit or license plates, and sign and date Part 1.
3
Get Medical Certification
When required, have an eligible medical professional complete and sign the appropriate certification in Part 2.
4
Submit the Application
Take a permit application to your local issuing agent, or bring a license plate application to a Motor Vehicles office.

Frequently asked questions

Do I need a notary for the severe disability parking permit application?: No. The application has no notary block. The applicant signs and dates Part 1, and a medical professional signs Part 2 when certification is required.
How do I submit the parking permit or license plates application?: Take a parking permit application to the issuing agent for your city, town, or village. For license plates, bring the completed application to a Motor Vehicles office.
Who can apply for a disability parking permit?: The instructions say a New York State resident with one or more severe disabilities that impair mobility may be eligible. Applicants do not have to be drivers or vehicle owners.

Need something notarized?

This Severe Disability Parking Permit or License Plates Application doesn’t need a notary, but if you have another Goshen form that does, a commissioned online notary can help.