Do I need a notary for the disabled parking application?

No. The application has signature sections for the applicant and certifying medical professional, but it does not state that notarization or a sworn attachment is required.

How do I submit the parking permit application?

Take the completed application to the issuing agent in the 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 professional completes the certification. The form lists different eligible professionals for permanent and temporary disabilities.

Can I use this application for license plates?

Yes. The form offers a choice between a parking permit and license plates. License plate applications go to the Department of Motor Vehicles.

Amityville, NY · Suffolk County

No notary required

Application for a Parking Permit or License Plates for Persons With Severe Disabilities

This application lets a person with a severe disability request a parking permit from their local municipality or disability license plates from the Department of Motor Vehicles.

What this form is

Use this application to request a parking permit from the local municipality where you live or license plates from the Department of Motor Vehicles. The applicant provides contact and disability information and signs the form; a medical professional completes the certification section. The application describes temporary and permanent disability criteria and asks for a diagnosis and, for a temporary disability, expected recovery date and needed assistive device.

Who needs it

A person with a severe disability seeking a parking permit or disability license plates completes this application and obtains the required medical certification.

How to submit it

For a parking permit, take the completed application to the issuing agent in the municipality where you live; do not send it to the Department of Motor Vehicles. License plate applications go to the Department of Motor Vehicles.

About notarization

The application is signed without a notary; the applicant and certifying medical professional sign their sections, and no notarized or sworn attachment is stated.

How to submit this form

1
Download the Application
Download the application for a parking permit or disability license plates.
2
Complete Your Information
Print your information, select a permit or plates, provide disability details, and sign the applicant section.
3
Obtain Medical Certification
Have a qualified medical professional complete and sign the medical certification section.
4
Submit the Application
For a parking permit, take it to the issuing agent in the municipality where you live. Send license plate applications to the Department of Motor Vehicles.

Frequently asked questions

Do I need a notary for the disabled parking application?: No. The application has signature sections for the applicant and certifying medical professional, but it does not state that notarization or a sworn attachment is required.
How do I submit the parking permit application?: Take the completed application to the issuing agent in the 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 professional completes the certification. The form lists different eligible professionals for permanent and temporary disabilities.
Can I use this application for license plates?: Yes. The form offers a choice between a parking permit and license plates. License plate applications go to the Department of Motor Vehicles.

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 Amityville form that does, a commissioned online notary can help.