Waverly, NY · Tioga County
Application for a Parking Permit or License Plates for Persons with Severe Disabilities
This application lets eligible residents request a disability parking permit or special license plates by providing personal details and, when required, medical certification.
At a glance
- Issued by
- City of Waverly · Waverly, Tioga County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- dmv.ny.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
The application is for New York residents with severe disabilities that impair mobility who want a parking permit or special license plates. For a parking permit, submit it to the municipality that issues permits where you live; special license plate applications are taken to a Motor Vehicles office. It asks for personal and disability information, the requested option, and medical certification when required.
Who needs it
A New York resident with a severe disability affecting mobility can use this application to request a parking permit or, for a permanent disability, special license plates.
How to submit it
For a parking permit, take the completed application to the city, town, or village that issues permits where you live; do not send it to DMV. For special plates, bring it to a Motor Vehicles office.
About notarization
This application is signed without a notary; medical certification from an authorized professional may be required for first-time permits and special plates, but not for permanent-permit renewals.
How to submit this form
- 1
Download the Application
Download the application and read pages 1 and 2 before completing the application on page 3.
- 2
Complete Part 1
Provide the requested information and sign Part 1. Select whether you want a parking permit, a renewal, or special license plates.
- 3
Gather Medical Certification
If required, have an authorized medical professional complete Part 2. Permanent parking permit renewals do not require another medical certification.
- 4
Submit the Application
For a parking permit, take the application to the issuing municipality where you live. For special plates, bring it to a Motor Vehicles office.
Frequently asked questions
- Who can apply for a disability parking permit?
- New York residents with one or more severe disabilities that impair mobility may be eligible. The application includes conditions used to determine eligibility.
- Do I need a notary for the disability parking permit application?
- No. The application is signed without a notary. First-time permits and special plates may require medical certification from an authorized professional; permanent-permit renewals do not.
- How do I submit the parking permit application?
- Take the completed application to the city, town, or village that issues parking permits where you live. Do not send a parking permit application to DMV.
- What information and certification does the application ask for?
- It asks for personal information, the requested permit or plates, and disability details. Medical certification is required in some cases, with different instructions for renewals.
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 Waverly form that does, a commissioned online notary can help.