Who can apply for a disabled parking permit?

The instructions say eligible applicants are residents with one or more severe disabilities that impair mobility. Applicants do not have to be drivers or vehicle owners, and children with severe disabilities may qualify.

Does this application also cover license plates?

Yes. The application lets you request either a parking permit or license plates. The instructions say license plates require a permanent disability and a vehicle registered to the person with the disability.

Patterson, NY · Putnam County

No notary required

Parking Permit or License Plates for Persons With Severe Disabilities Application

New York residents with severe disabilities use this application to request a disabled parking permit or license plates through the appropriate issuing agent or motor vehicle office.

At a glance

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

What this form is

This application is for people with severe disabilities who want a parking permit or special license plates. To apply for a permit, complete Part 1 and take the application to the issuing agent for the city, town, or village where you live; the instructions say not to send permit applications to the Department of Motor Vehicles. The form asks for the applicant’s contact and disability information, and medical certification when applicable.

Who needs it

A person with a qualifying severe disability, or their parent or guardian, can complete this application to request a 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. The instructions say to call your local hall to find the nearest agent and not to send the permit application to the Department of Motor Vehicles.

About notarization

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

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
Enter the applicant’s information, choose a parking permit or license plates, and sign Part 1.
3
Get Medical Certification
When required, have an eligible medical professional complete and sign the applicable 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 disabled parking application?: No. The application is signed without a notary. The applicant signs Part 1, and a medical professional signs Part 2 when medical certification is required.
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 call your local hall to find the nearest agent.
Who can apply for a disabled parking permit?: The instructions say eligible applicants are residents with one or more severe disabilities that impair mobility. Applicants do not have to be drivers or vehicle owners, and children with severe disabilities may qualify.
Does this application also cover license plates?: Yes. The application lets you request either a parking permit or license plates. The instructions say license plates require a permanent disability and a vehicle registered to the person with the disability.

Need something notarized?

This Parking Permit or License Plates for Persons With Severe Disabilities Application doesn’t need a notary, but if you have another Patterson form that does, a commissioned online notary can help.