Stephentown, NY · Rensselaer County
Metered Parking Waiver Application
This application lets eligible residents with severe disabilities request a waiver from paying metered parking fees when their disability makes paying at a meter difficult.
What this form is
Use this application to request a metered parking waiver if you meet the listed residency, driver license, and disability requirements. It asks for the applicant’s personal and license information, disability details, and a medical certification completed by a physician, physician assistant, or doctor of osteopathy. The provider certifies which qualifying limitations apply and signs and dates the form.
Who needs it
Residents with severe disabilities who meet the application’s eligibility requirements and have difficulty paying at a parking meter may apply.
How to submit it
Take the completed application to the issuing agent in the area where you live. Bring your New York State driver license; call your local city, town, or village hall to find out where to apply.
About notarization
This application is signed without a notary; the applicant and medical provider sign it, and the physician, PA, or DO must provide an original signature.
How to submit this form
- 1
Download The Application
Download the metered parking waiver application PDF.
- 2
Complete Applicant Information
Print your personal and driver license information, answer the permit questions, and sign the applicant certification.
- 3
Get Medical Certification
Have a physician, physician assistant, or doctor of osteopathy complete, sign, and date the medical certification section.
- 4
Submit To The Issuing Agent
Bring the completed application and your New York State driver license to the issuing agent in your area.
Frequently asked questions
- Who can apply for a metered parking waiver?
- Applicants must meet the listed residency, valid driver license, and severe-disability requirements, including a qualifying limitation that makes paying at a meter difficult.
- Who completes the medical certification?
- A physician, physician assistant, or doctor of osteopathy must complete the medical certification section, check the applicable limitations, and sign and date the form.
- How do I submit the application?
- Take the completed application to the issuing agent in the area where you live and bring your New York State driver license. Call your local hall to find out where to apply.
- Do I need a notary for the metered parking waiver application?
- No. This application is signed without a notary. The applicant and medical provider sign it, and the physician, PA, or DO must provide an original signature.