Do I need a notary for the Disability Parking Permit Application?

No. The applicant or parent or guardian and the medical professional sign their sections; the document does not require a notary.

Who can apply for a Port Jefferson disability parking permit?

The application is for Port Jefferson Village residents seeking a disability parking permit. The form includes sections for temporary and permanent disabilities.

What information does the application ask for?

It asks for applicant information, disability details and diagnosis, information about the medical professional, and a signature and date.

Port Jefferson, NY · Suffolk County

No notary required

Disability Parking Permit Application

Port Jefferson Village residents use this application to request a disability parking permit, with the disability information completed by a doctor.

What this form is

This application is for Port Jefferson Village residents seeking a disability parking permit. The applicant completes their information, and a doctor certifies the disability and provides medical details; the form covers temporary and permanent disabilities. The document says to mail the completed application with a photocopy of the applicant’s driver’s license to the Village Clerk’s Office.

Who needs it

Port Jefferson Village residents seeking a disability parking permit should complete this application and have the medical section completed by a doctor.

How to submit it

Have your doctor complete the application, then mail it with a photocopy of your driver’s license to Port Jefferson Village, Attn: Clerk’s Office, 121 West Broadway, Port Jefferson, NY 11777.

About notarization

This application is signed and dated without a notary; the applicant or parent or guardian and the medical professional sign their respective sections.

How to submit this form

1
Download the Application
Download the Disability Parking Permit Application for Port Jefferson Village.
2
Complete the Application
Fill in the applicant section and have your doctor complete the medical section.
3
Gather the Required Copy
Include a photocopy of the applicant’s driver’s license with the completed application.
4
Mail It to the Clerk’s Office
Mail the application and photocopy to the Port Jefferson Village Clerk’s Office at the address printed on the form.

Frequently asked questions

Do I need a notary for the Disability Parking Permit Application?: No. The applicant or parent or guardian and the medical professional sign their sections; the document does not require a notary.
How do I submit the Disability Parking Permit Application?: Have your doctor complete the application, then mail it with a photocopy of your driver’s license to Port Jefferson Village, Attn: Clerk’s Office, at the address on the form.
Who can apply for a Port Jefferson disability parking permit?: The application is for Port Jefferson Village residents seeking a disability parking permit. The form includes sections for temporary and permanent disabilities.
What information does the application ask for?: It asks for applicant information, disability details and diagnosis, information about the medical professional, and a signature and date.

Need something notarized?

This Disability Parking Permit Application doesn’t need a notary — but if you have another Port Jefferson form that does, a commissioned online notary can help.