Lake Grove, NY · Suffolk County
Application for Parking Permit for Persons with Disabilities
This application is for people seeking a new, renewed, replacement, or damaged parking permit for persons with disabilities from the Town of Brookhaven.
What this form is
The application is used to request a parking permit for a permanent or temporary disability, or to renew or replace a permit. The instructions say new applicants and temporary-permit renewals need Parts I and II completed, while permanent-permit renewals generally require Part I. It asks for applicant information, proof of identity and residency, and, when required, a medical professional’s diagnosis and certification.
Who needs it
Town of Brookhaven residents applying for or renewing a disability parking permit, or reporting a lost, stolen, or damaged permit, use this application.
How to submit it
Return the completed application in person or by mail to Brookhaven Town Clerk, One Independence Hill, Farmingville, NY 11738, with required documents and a stamped, self-addressed legal-size envelope. Fax copies are not accepted.
About notarization
This document is signed without a notary; the applicant and, when required, medical professional sign and date the application.
How to submit this form
- 1
Download The Application
Download the parking permit application PDF and review its instructions.
- 2
Complete The Required Parts
Fill in Part I; have an authorized medical professional complete Part II when the instructions require it.
- 3
Gather Supporting Documents
Include required proof of identity and residency, any applicable prior-permit proof, and a stamped, self-addressed legal-size envelope.
- 4
Submit To The Town Clerk
Return the application in person or by mail to Brookhaven Town Clerk, One Independence Hill, Farmingville, NY 11738. Fax copies are not accepted.
Frequently asked questions
- Do I need a notary for the disability parking permit application?
- No. The application has signature and date fields but no notary block; the applicant and, when required, the medical professional sign and date it.
- How do I submit the disability parking permit application?
- Submit it in person or by mail to Brookhaven Town Clerk, One Independence Hill, Farmingville, NY 11738. Include the required documents and a stamped, self-addressed legal-size envelope; fax copies are not accepted.
- What documents must accompany the application?
- Include a copy of a valid driver’s license or DMV non-driver photo ID. If it does not show your current physical address, include a qualifying utility bill, bank statement, or credit card statement dated within the last six months.
- Does a medical professional need to complete the application?
- Part II must be completed by an authorized medical professional for new applications and temporary-permit renewals. The instructions give different requirements for permanent-permit renewals.
Need something notarized?
This Application for Parking Permit for Persons with Disabilities doesn’t need a notary — but if you have another Lake Grove form that does, a commissioned online notary can help.