Putnam Valley, NY · Putnam County
Handicap Parking Form
This New York State application is for people with severe disabilities who are requesting a parking permit through the local issuing agent where they live.
What this form is
Use this application to request a parking permit for a person with a severe disability; the form also includes an option to apply for license plates through the Department of Motor Vehicles. It asks for the applicant’s contact and birth information, disability details, and a signature, with a section for a medical professional’s certification. The form says to read the packet’s information pages before completing the application.
Who needs it
A person with a severe disability, or their parent or guardian, can complete this application to request a parking permit from the local issuing agent.
How to submit it
For a parking permit, take the completed application to the issuing agent—the local municipality where you live. Do not send a parking permit application to the Department of Motor Vehicles.
About notarization
This document is signed without a notary; the applicant or parent or guardian signs and dates it, and the medical professional signs and dates the certification.
How to submit this form
- 1
Download the Form
Download the Handicap Parking Form and read the packet’s information pages before completing the application.
- 2
Complete the Application
Enter the applicant’s information, select the permit type, describe the disability, and sign and date the form.
- 3
Get Medical Certification
Have a qualifying medical professional complete and sign the certification section.
- 4
Submit to the Local Issuing Agent
Take a parking permit application to the local issuing agent where you live. Do not send it to the Department of Motor Vehicles.
Frequently asked questions
- Do I need a notary for the Handicap Parking Form?
- No. The applicant or parent or guardian signs and dates the form, and a medical professional signs and dates the certification; no notary is indicated.
- How do I submit the Handicap Parking Form?
- For a parking permit, take the completed application to the local issuing agent in the municipality where you live. Do not send it to the Department of Motor Vehicles.
- What information does the application ask for?
- It requests the applicant’s address, date of birth, permit type, disability information, and signatures. A medical professional completes the certification section.
Need something notarized?
This Handicap Parking Form doesn’t need a notary — but if you have another Putnam Valley form that does, a commissioned online notary can help.