Plainfield, NY · Otsego County
Application for a Parking Permit or License Plates for Persons with Severe Disabilities
New York residents with severe disabilities use this application to request a parking permit or disability license plates through the appropriate issuing agent or motor vehicles office.
What this form is
This application requests a parking permit or license plates for a person with a severe disability that impairs mobility. For a parking permit, the applicant completes Part 1 and takes the form to the issuing agent for the city, town, or village where they live; a qualified medical professional completes Part 2 when certification is required. The form also asks for the applicant’s contact details, disability information, and requested option.
Who needs it
A New York resident with a severe mobility-related disability may use this application to request a parking permit or 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; do not send it to DMV. Call your local town hall to find the nearest agent.
About notarization
This application is signed and dated without a notary; the applicant and medical professional sign their respective sections.
How to submit this form
- 1
Download The Application
Download the application and read pages 1 and 2 before completing the form on page 3.
- 2
Complete Part 1
Print the applicant’s information, select a parking permit or license plates, and sign Part 1.
- 3
Arrange Medical Certification
If required, have an eligible medical professional complete and sign the appropriate medical certification in Part 2.
- 4
Submit To The Issuing Agent
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 disability parking application?
- No. This application is signed and dated without a notary; the applicant and medical professional sign their respective sections.
- How do I submit a parking permit application in Plainfield?
- Take the completed application to the appointed issuing agent for the town where you live. The instructions say to contact your local town hall to find the nearest agent.
- Who completes the medical certification?
- A qualified medical professional completes the medical certification in Part 2 when required. The instructions list different eligible professionals for permanent and temporary disabilities.