Northumberland, NY · Saratoga County
Application for a Parking Permit or License Plates for Persons With Severe Disabilities
This application lets people with severe disabilities request a parking permit from their local municipality or license plates from the Department of Motor Vehicles.
What this form is
The application is for people with severe disabilities seeking a parking permit or disability license plates. Applicants requesting a parking permit take the completed application to the issuing agent in the municipality where they live; license plate requests go to the Department of Motor Vehicles. The form asks for the applicant’s information and disability details, and includes a medical certification section for a qualified provider.
Who needs it
A person with a severe disability, or their parent or guardian, can use this application to request a parking permit or disability license plates.
How to submit it
For a parking permit, take the completed application to the issuing agent in the local municipality where you live. For license plates, apply to the Department of Motor Vehicles.
About notarization
This application is signed without a notary; the applicant or representative and medical provider sign the form, and no notarized attachment is mentioned.
How to submit this form
- 1
Download The Application
Download the application for a parking permit or license plates for persons with severe disabilities.
- 2
Complete Applicant Information
Print the applicant’s information, indicate whether you want a parking permit or license plates, and sign the application.
- 3
Get Medical Certification
Have a qualified provider complete the medical certification section and sign it.
- 4
Submit The Application
For a parking permit, take the completed application to the issuing agent in your local municipality. For license plates, apply to the Department of Motor Vehicles.
Frequently asked questions
- Do I need a notary for the disability parking permit application?
- No. This application is signed without a notary; the applicant or representative and medical provider sign the form, and no notarized attachment is mentioned.
- How do I submit the parking permit application?
- Take the completed application to the issuing agent in the local municipality where you live. Do not send a parking permit application to the Department of Motor Vehicles.
- Who completes the medical certification?
- A qualified medical provider completes the medical certification section. The form lists eligible providers and states that temporary disabilities may be certified only by a Medical Doctor or Doctor of Osteopathy.
Need something notarized?
This Application for a Parking Permit or License Plates for Persons With Severe Disabilities doesn’t need a notary — but if you have another Northumberland form that does, a commissioned online notary can help.
