New Hempstead, NY · Rockland County

No notary required

Parking Permit or License Plates Application for Persons with Severe Disabilities

This application is for people with severe disabilities who seek a parking permit or disability license plates through the appropriate local issuing agent or motor vehicle office.

What this form is

The application requests a parking permit or license plates for a person with a severe disability that limits mobility. For a parking permit, the applicant completes Part 1 and takes the form to the issuing agent for the city, town, or village where they live; the relevant medical professional completes Part 2 when certification is required. License plate applicants also complete Part 1 and obtain medical certification for a permanent disability.

Who needs it

A person with a severe disability who wants a parking permit or disability license plates completes Part 1, with medical certification when required.

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 the Department of Motor Vehicles. For license plates, bring the completed application to a Motor Vehicles office.

About notarization

This application is signed and dated 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. 1

    Download The Application

    Download the application and read pages 1 and 2 before completing page 3.

  2. 2

    Complete Part 1

    Enter the applicant's information, select a parking permit or license plates, and sign and date Part 1.

  3. 3

    Get Medical Certification

    Have a qualified medical professional complete Part 2 when medical certification is required.

  4. 4

    Submit The Application

    For a parking permit, take it to your local issuing agent. For license plates, bring it to a Motor Vehicles office.

Frequently asked questions

Do I need a notary for the disability parking permit application?
No. The applicant and medical professional sign their sections without a notary, and the application does not specify a notarized or sworn attachment.
How do I submit the parking permit application in New Hempstead?
Take the completed application to the issuing agent for the city, town, or village where you live. The document says not to send parking permit applications to the Department of Motor Vehicles.
Who completes the medical certification?
A qualified medical professional completes Part 2. The professionals permitted to certify a permanent disability differ from those permitted to certify a temporary disability.
Can this application be used for license plates?
Yes. The application covers parking permits and license plates. License plate applicants must have a permanent disability and bring the completed application to a Motor Vehicles office.

Need something notarized?

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