Bellport, NY · Suffolk County
Application for a Parking Permit or License Plates for Persons with Severe Disabilities
This application is for people with severe disabilities who seek a parking permit or disability license plates and complete the relevant sections for their request.
At a glance
- Issued by
- City of Bellport · Bellport, Suffolk County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- bellportvillageny.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
The packet includes instructions and an application for a parking permit or license plates for a person with a severe disability. For a parking permit, the applicant completes Part 1 and takes the form to the issuing agent for their city, town, or village; a medical professional completes the applicable certification in Part 2. License plate applicants must meet the packet’s requirements and apply at a Motor Vehicles office.
Who needs it
A person with a severe disability who wants a parking permit or disability license plates uses this application and follows the instructions for the requested item.
How to submit it
For a parking permit, take the completed application to the appointed 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 complete their respective signature sections.
How to submit this form
- 1
Download The Packet
Download the instructions and application for a parking permit or license plates for persons with severe disabilities.
- 2
Complete The Application
Read pages 1 and 2, then complete Part 1 on page 3 and the relevant sections for your request.
- 3
Get Medical Certification
If required for your disability, have an eligible medical professional complete the applicable certification in Part 2.
- 4
Submit The Application
For a permit, take the form to your local issuing agent; for license plates, bring it to a Motor Vehicles office.
Frequently asked questions
- Do I need a notary for this disability parking application?
- No. This application is signed and dated without a notary; the applicant and medical professional complete their respective signature sections.
- How do I submit a parking permit application?
- Take the completed application to the appointed issuing agent for the city, town, or village where you live. Do not send it to the Department of Motor Vehicles.
- Who completes the medical certification?
- The medical certification is completed by a qualified medical professional. The instructions list which professionals may certify permanent disabilities and which may certify temporary disabilities.
- Can I use this application to request license plates?
- Yes. The application covers both parking permits and license plates. The instructions say to bring a completed license plate application to a Motor Vehicles office.
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 Bellport form that does, a commissioned online notary can help.