Monroe, NY · Orange County

No notary required

Application for a Parking Permit or License Plates for Persons With Severe Disabilities

This application is for residents with qualifying severe disabilities seeking a parking permit or disability license plates.

At a glance

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

What this form is

This application lets a person with a qualifying severe disability request a parking permit or license plates. For a parking permit, the applicant completes Part 1 and takes the application to the local issuing agent; license plates are obtained through a Motor Vehicles office. The form asks for the applicant’s contact and disability information, and includes medical certification sections for permanent or temporary disabilities.

Who needs it

A resident with a qualifying severe disability may use this application to request a parking permit or, for a permanent disability, license plates.

How to submit it

For a parking permit, take the completed application to the appointed issuing agent for the city, town or village where you live; call your local hall to find the nearest agent.

About notarization

This application is signed without a notary; the applicant and medical professional sign and date their sections.

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 The Application

    Fill out Part 1. Have an eligible medical professional complete the applicable medical certification section in Part 2.

  3. 3

    Gather Supporting Documents

    If you already have disability plates, attach a copy of your vehicle registration. Custom plate applicants should bring a photo showing the wheelchair symbol.

  4. 4

    Submit The Application

    For a parking permit, take the completed application to the appointed issuing agent for the city, town or village where you live.

Frequently asked questions

Do I need a notary for the severe disability parking application?
No. This application is signed without a notary; the applicant and medical professional sign and date their sections.
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. Call your local hall to find the nearest agent.
Who can apply for a parking permit or disability license plates?
A resident with one or more severe disabilities that impair mobility may qualify. License plates require a permanent disability, and the vehicle must be registered to the person with the disability.
Does this application cover both permits and license plates?
Yes. The application allows a person to apply for a parking permit or license plates. Parking permits are handled by a local issuing agent; plates are obtained at a Motor Vehicles office.

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