Barton, NY · Tioga County

No notary required

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 through the appropriate local issuing agent or DMV office.

At a glance

Issued by
City of Barton · Barton, Tioga County, New York
Notarization
Not required: file this form without a notary.
Official source
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Blank form
Download the PDF
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What this form is

This application lets a person with a severe disability request a parking permit or license plates. For a parking permit, complete Part 1 and take the application to the appointed local issuing agent; a medical professional may need to complete Part 2. License plate applicants complete Part 1 and obtain medical certification for a permanent disability. The form also asks for personal details, disability information, and signatures.

Who needs it

People with severe disabilities applying for a parking permit or license plates use this application, with medical certification when required.

How to submit it

For a parking permit, take the completed application to the appointed local issuing agent in the town where you live; call the local town hall to find the nearest agent. Do not send a parking permit application to DMV.

About notarization

This document is signed without a notary; the applicant signs and dates Part 1, and a medical professional signs Part 2 when certification is required.

How to submit this form

  1. 1

    Download the Application

    Download the application and read pages 1 and 2 before completing the form on page 3.

  2. 2

    Complete Part 1

    Enter the applicant's information, select a parking permit or license plates, and sign and date Part 1.

  3. 3

    Get Medical Certification

    When required, have an eligible medical professional complete and sign the applicable certification in Part 2.

  4. 4

    Submit the Application

    For a parking permit, take the application to the appointed local issuing agent where you live; call the local town hall to locate an agent.

Frequently asked questions

Do I need a notary for the disability parking permit application?
No. The applicant signs and dates Part 1; a medical professional signs Part 2 when certification is required. No notary is specified.
How do I submit a parking permit application in Barton?
Take the completed application to the appointed local issuing agent in the town where you live. The instructions say to call your local town hall to find the nearest agent.
Who can apply for a parking permit or disability plates?
The instructions say a New York State resident with one or more severe disabilities that impair mobility may be eligible for a permit or plates, subject to the listed requirements.
What medical certification does the application require?
The application includes medical certification for permanent disabilities and temporary disabilities. Temporary disability certification may be completed 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 Barton form that does, a commissioned online notary can help.