Do I need a notary for this parking permit application?

No. The applicant signs and dates the application without a notary. A medical professional generally completes and signs the medical certification, unless the stated waiver applies.

Who can apply for a disability parking permit?

The instructions say New York residents with one or more severe disabilities that impair mobility may be eligible. Applicants do not have to drive or own a vehicle to get a parking permit.

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 instructions say to contact your local hall to find an issuing agent.

Can I use this application to request license plates?

Yes. The application covers both parking permits and license plates. For plates, the disability must be permanent and the vehicle must be registered to the person with the disability; bring the application to a Motor Vehicles office.

Wawayanda, NY · Orange County

No notary required

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

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

At a glance

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

What this form is

New York residents with severe disabilities that impair mobility use this application to request a parking permit or license plates. The applicant completes Part 1, and a qualified medical professional generally completes the medical certification in Part 2; the instructions describe exceptions for some permanent disabilities. The application also explains where to apply and the requirements for using permits and plates.

Who needs it

A New York resident with a severe disability affecting mobility who wants a parking permit or disability license plates should complete this application.

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. For license plates, bring the completed application to a Motor Vehicles office.

About notarization

This application is signed and dated without a notary; the medical professional completes and signs the medical certification, unless the stated waiver applies.

How to submit this form

1
Download The Application
Download the application and read the instructions on pages 1 and 2 before completing Part 1 on page 3.
2
Complete Part 1
Provide the requested information, indicate whether you want a parking permit or license plates, and sign the application.
3
Get Medical Certification
Have a qualified medical professional complete the applicable medical certification in Part 2, unless the stated waiver applies.
4
Submit The Application
For a permit, take it to the appointed local issuing agent; for license plates, bring it to a Motor Vehicles office.

Frequently asked questions

Do I need a notary for this parking permit application?: No. The applicant signs and dates the application without a notary. A medical professional generally completes and signs the medical certification, unless the stated waiver applies.
Who can apply for a disability parking permit?: The instructions say New York residents with one or more severe disabilities that impair mobility may be eligible. Applicants do not have to drive or own a vehicle to get a parking permit.
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 instructions say to contact your local hall to find an issuing agent.
Can I use this application to request license plates?: Yes. The application covers both parking permits and license plates. For plates, the disability must be permanent and the vehicle must be registered to the person with the disability; bring the application to 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 Wawayanda form that does, a commissioned online notary can help.