Berlin, NY · Rensselaer County
Disabled Parking Permit Application
New York residents with a qualifying disability use this application to request a parking permit from the issuing agent for their city, town, or village.
What this form is
This application is for people with severe disabilities that impair mobility who are requesting a parking permit or license plates. For a parking permit, complete Part 1 and have the required medical professional complete Part 2, unless the stated medical-certification waiver applies. The form asks for personal and disability information, medical certification when required, and the applicant’s signature.
Who needs it
A person with a qualifying disability who lives in Berlin and is applying for a parking permit should complete this application for the local issuing agent.
How to submit it
Take the completed application to the appointed issuing agent for the city, town, or village where you live; call your local city, town, or village hall to find the nearest agent.
About notarization
This document is signed without a notary; the applicant and medical professional sign their respective sections, and the applicant dates the form.
How to submit this form
- 1
Download The Application
Download the Disabled Parking Permit Application PDF.
- 2
Complete Part 1
Read the packet instructions, complete Part 1, and sign the application.
- 3
Get Medical Certification
Have the required medical professional complete Part 2, unless the stated medical-certification waiver applies.
- 4
Submit To The Issuing Agent
Take the completed application to the appointed issuing agent where you live; call your local hall to find the nearest agent.
Frequently asked questions
- Do I need a notary for the Disabled Parking Permit Application?
- No. This application has no notary block; the applicant and medical professional sign their respective sections, and the applicant dates the form.
- How do I submit the Disabled Parking Permit Application?
- Take the completed application to the appointed issuing agent for the city, town, or village where you live. Call your local hall to find the nearest agent.
- Who can apply for a disabled parking permit?
- The packet says New York residents with one or more severe disabilities that impair mobility may be eligible. The application describes qualifying conditions and certification requirements.
- Does the DMV issue parking permits?
- No. The instructions say not to send a parking permit application to the DMV; take it to the appointed local issuing agent.