Clarendon, NY · Orleans County
Handicapped Parking Permit Application Form
This application lets a person with a severe disability request a parking permit or license plates by providing personal information and medical certification.
What this form is
Use this application to request a parking permit or license plates for a person with a severe disability. The applicant completes Part 1, and a qualified medical professional completes the applicable medical certification in Part 2; the form describes different certification requirements for permanent and temporary disabilities. For a parking permit, take the completed application to the issuing agent for the city, town, or village where the applicant lives.
Who needs it
A person with a severe disability, or their parent or guardian, uses this application to request a parking permit or 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. The instructions say to call your local town hall to find the nearest agent.
About notarization
This application is signed without a notary; the applicant and medical professional sign and date their respective sections, with no notarized attachment identified.
How to submit this form
- 1
Download The Application
Download the application and read pages 1 and 2 before completing the application on page 3.
- 2
Complete Part 1
Enter the applicant’s information, indicate whether you want license plates or a parking permit, then sign and date Part 1.
- 3
Get Medical Certification
Ask a qualified medical professional to complete the applicable medical certification in Part 2.
- 4
Submit The Application
For a parking permit, take the completed application to the appointed issuing agent where you live; call your local town hall to locate an agent.
Frequently asked questions
- Do I need a notary for the Handicapped Parking Permit Application?
- No. The applicant and medical professional sign and date their respective sections; the form identifies no notarized attachment.
- How do I submit the Handicapped Parking Permit Application?
- For a parking permit, take the completed application to the appointed issuing agent for the city, town, or village where you live. The instructions say to call your local town hall to find the nearest agent.
- Who completes the medical certification?
- A qualified medical professional completes Part 2. The form lists eligible professionals for permanent disabilities and limits temporary-disability certification to a Medical Doctor or Doctor of Osteopathy.