Who can use this disability parking permit application?

New York residents with a qualifying severe disability can use it to apply for a parking permit or disability license plates. The form describes eligibility and medical certification requirements.

Do I need a notary for the disability parking permit application?

No. This document is signed without a notary. The applicant and medical professional sign their sections, and no notarized or sworn attachment is specified.

How do I submit the parking permit application?

Take the completed application to the issuing agent for the city, town, or village where you live. The instructions say not to send a parking permit application to DMV.

Does the application require medical certification?

The form includes medical certification sections. It says certification may be waived for some permanent disabilities, while temporary disabilities must be certified by a Medical Doctor or Doctor of Osteopathy.

Stephentown, NY · Rensselaer County

No notary required

Application for Parking Permit for Persons with Disabilities

New York residents with qualifying disabilities use this application to request a parking permit or disability license plates through the appropriate issuing agent.

What this form is

This application lets a person with a qualifying disability request a parking permit or license plates for persons with severe disabilities. For a parking permit, take the completed application to the issuing agent for the city, town, or village where you live; DMV does not issue parking permits. The application asks for the applicant’s personal information and disability details, with medical certification required in many cases.

Who needs it

A New York resident with a qualifying disability who wants a parking permit or disability license plates needs this application.

How to submit it

For a parking permit, take the completed application to the issuing agent for the city, town, or village where you live. Do not send it to DMV, which does not issue parking permits.

About notarization

This document is signed without a notary; the applicant and medical professional sign their respective sections, and no notarized or sworn attachment is specified.

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, select a parking permit or license plates, and sign Part 1.
3
Gather Medical Certification
Have an eligible medical professional complete the applicable section in Part 2; the form describes when certification may be waived.
4
Submit To The Issuing Agent
For a parking permit, take the completed application to the issuing agent for the city, town, or village where you live.

Frequently asked questions

Who can use this disability parking permit application?: New York residents with a qualifying severe disability can use it to apply for a parking permit or disability license plates. The form describes eligibility and medical certification requirements.
Do I need a notary for the disability parking permit application?: No. This document is signed without a notary. The applicant and medical professional sign their sections, and no notarized or sworn attachment is specified.
How do I submit the parking permit application?: Take the completed application to the issuing agent for the city, town, or village where you live. The instructions say not to send a parking permit application to DMV.
Does the application require medical certification?: The form includes medical certification sections. It says certification may be waived for some permanent disabilities, while temporary disabilities must be certified by a Medical Doctor or Doctor of Osteopathy.

Need something notarized?

This Application for Parking Permit for Persons with Disabilities doesn’t need a notary — but if you have another Stephentown form that does, a commissioned online notary can help.