Gardiner, NY · Ulster County
Application for a Parking Permit or License Plates for Persons With Severe Disabilities
New York residents with qualifying disabilities use this application to request a disability parking permit or license plates.
What this form is
This application lets a person with a qualifying disability request a parking permit or license plates. Complete Part 1 and, when required, have an eligible medical professional complete the medical certification in Part 2. For a parking permit, the completed application goes to the appointed issuing agent in the city, town, or village where the applicant lives; license plate applications go to a Motor Vehicles office.
Who needs it
A New York resident with a qualifying permanent or temporary disability who wants a parking permit, or with a permanent disability who wants license plates, uses this application.
How to submit it
For a parking permit, take the completed application to the appointed issuing agent in the city, town, or village where you live. For license plates, bring it to a Motor Vehicles office.
About notarization
This document is signed without a notary; the applicant signs and dates Part 1, and a medical professional completes and signs Part 2 when required.
How to submit this form
- 1
Download The Application
Download the disability parking permit and license plate application PDF.
- 2
Complete Part 1
Fill in the applicant information and select whether you want a parking permit or license plates.
- 3
Get Medical Certification
When required, ask an eligible medical professional to complete and sign the applicable certification in Part 2.
- 4
Submit The Application
Take a parking permit application to your local issuing agent, or bring a license plate application to a Motor Vehicles office.
Frequently asked questions
- Who can apply for a disability parking permit?
- A New York resident with one or more severe disabilities that impair mobility may qualify. The application covers permanent and temporary disabilities.
- How do I submit the parking permit application?
- Take the completed application to the appointed issuing agent in the city, town, or village where you live. Do not send a parking permit application to the Department of Motor Vehicles.
- Do I need a notary for the disability parking permit application?
- No. The applicant signs and dates Part 1 without a notary. When required, a medical professional completes and signs the certification in Part 2.
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 Gardiner form that does, a commissioned online notary can help.