Do I need a notary for the severe-disability parking application?

No. The applicant signs the form without a notary; when required, an eligible medical professional completes and signs the medical certification.

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 packet says to contact your local hall to find the nearest agent.

Where do I apply for disability license plates?

The packet directs applicants to bring the completed application to any Motor Vehicles office. The vehicle must be registered to the person with the disability.

What information does the application ask for?

It asks for the applicant’s personal and contact details, the requested permit or plates, disability and diagnosis information, and medical certification when required.

Walden, NY · Orange County

No notary required

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

This application lets a person with a severe disability request a parking permit or disability license plates by providing personal information and, when required, medical certification.

What this form is

Use this application to request a parking permit or license plates for a person with a severe disability that limits mobility. The form asks for the applicant’s contact and disability information, the type of permit or plates requested, and medical certification when required. Parking permit applications go to the local issuing agent where the applicant lives; license plate applications go to a Motor Vehicles office.

Who needs it

A person with a qualifying severe disability may use this application to request a parking permit or license plates, subject to the packet’s eligibility requirements.

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. For license plates, bring it to any Motor Vehicles office.

About notarization

This application is signed without a notary; the required medical certification is completed and signed by an eligible medical professional.

How to submit this form

1
Download the Application
Download the application packet and read pages 1 and 2 before completing the application on page 3.
2
Complete the Application
Fill out Part 1 with the applicant’s information and indicate whether you are applying for a parking permit or license plates.
3
Get Medical Certification
When required, have an eligible medical professional complete the appropriate medical certification section in Part 2.
4
Submit the Application
For a permit, take it to the appointed local issuing agent. For 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 the form without a notary; when required, an eligible medical professional completes and signs the medical certification.
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 packet says to contact your local hall to find the nearest agent.
Where do I apply for disability license plates?: The packet directs applicants to bring the completed application to any Motor Vehicles office. The vehicle must be registered to the person with the disability.
What information does the application ask for?: It asks for the applicant’s personal and contact details, the requested permit or plates, disability and diagnosis information, and medical certification when required.

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