Who can apply for a parking permit?

The instructions say eligible residents with one or more severe disabilities that impair mobility may apply. Applicants do not have to be drivers or vehicle owners.

What information does the application request?

Part 1 requests personal and contact information and the permit or plate choice. Part 2 covers disability details and medical certification when required.

Mount Hope, NY · Orange County

No notary required

Handicap Parking Permit Application

This application lets eligible residents with severe disabilities request a parking permit or license plates by providing personal information and medical certification.

At a glance

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

What this form is

The application is for eligible residents with severe disabilities who want a parking permit or license plates. Applicants complete Part 1, and a qualified medical professional completes Part 2 when medical certification is required; the instructions describe exceptions for some permanent disabilities. It asks for contact and identification details, the requested permit or plates, disability information, and medical certification.

Who needs it

Residents with severe disabilities who want a parking permit or license plates complete Part 1, with medical certification completed when required.

How to submit it

For a parking permit, take the completed application to the appointed issuing agent in the city, town, or village where you live; do not send it to the Department of Motor Vehicles.

About notarization

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

How to submit this form

1
Download The Application
Download the Handicap Parking Permit Application and read pages 1 and 2 before completing the application on page 3.
2
Complete Part 1
Provide the requested information about the person with the disability, select a permit or license plates, and sign Part 1.
3
Get Medical Certification
When required, have a qualified medical professional complete the applicable medical certification section in Part 2.
4
Submit To The Issuing Agent
For a parking permit, take the completed application to the appointed issuing agent in the city, town, or village where you live.

Frequently asked questions

Do I need a notary for the Handicap Parking Permit Application?: No. The applicant signs and dates Part 1, and a medical professional signs Part 2 when certification is provided; the document does not require notarization.
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. Do not send a parking permit application to the Department of Motor Vehicles.
Who can apply for a parking permit?: The instructions say eligible residents with one or more severe disabilities that impair mobility may apply. Applicants do not have to be drivers or vehicle owners.
What information does the application request?: Part 1 requests personal and contact information and the permit or plate choice. Part 2 covers disability details and medical certification when required.

Need something notarized?

This Handicap Parking Permit Application doesn’t need a notary, but if you have another Mount Hope form that does, a commissioned online notary can help.