Do I need a notary for the severe disability parking application?

No. The applicant signs the application without a notary. When required, a qualified medical professional completes and signs the medical certification section.

How do I submit the parking permit application?

Take the completed application to the appointed issuing agent for the city, town, or village where you live. The instructions say not to send parking permit applications to the Department of Motor Vehicles.

Who can apply for a parking permit?

The instructions say a New York resident with one or more severe disabilities that impair mobility may be eligible. Applicants do not have to drive or own a vehicle.

How do I apply for disability license plates?

The disability must be permanent, and the vehicle must be registered to the person with the disability. Take the completed application to a Motor Vehicles office.

Plattekill, NY · Ulster County

No notary required

Application for a Parking Permit or License Plates for Persons with Severe Disabilities

New York residents with severe disabilities use this application to request a parking permit from their local issuing agent or disability license plates from a Motor Vehicles office.

At a glance

Issued by: City of Plattekill · Plattekill, Ulster County, New York
Notarization: Not required: file this form without a notary.
Official source: townofplattekill.gov
Blank form: Download the PDF
Catalogued: Sep 28, 2026
Machine-readable: JSON record · about the forms index

What this form is

This application requests a parking permit or license plates for a person with a severe disability that impairs mobility. Applicants complete Part 1, and a qualified medical professional completes the relevant medical certification in Part 2 unless certification is waived under the instructions. Parking permit applications go to the issuing agent for the applicant’s municipality; license plate applications are taken to a Motor Vehicles office.

Who needs it

A New York resident with a severe mobility-related disability who wants a parking permit or disability license plates needs this application.

How to submit it

For a parking permit, take the completed application to the appointed issuing agent for the city, town, or village where you live. For license plates, take it to a Motor Vehicles office.

About notarization

This application is signed and dated without a notary; when required, a medical professional completes and signs the medical certification section.

How to submit this form

1
Download The Application
Download the application packet and read pages 1 and 2 before completing the application on page 3.
2
Complete Part 1
Fill in the information about the person with the disability and sign Part 1.
3
Complete Medical Certification
When required, have a qualified medical professional complete the applicable medical certification in Part 2.
4
Submit The Application
For a parking permit, take the application to your local issuing agent. For license plates, take it to a Motor Vehicles office.

Frequently asked questions

Do I need a notary for the severe disability parking application?: No. The applicant signs the application without a notary. When required, a qualified medical professional completes and signs the medical certification section.
How do I submit the parking permit application?: Take the completed application to the appointed issuing agent for the city, town, or village where you live. The instructions say not to send parking permit applications to the Department of Motor Vehicles.
Who can apply for a parking permit?: The instructions say a New York resident with one or more severe disabilities that impair mobility may be eligible. Applicants do not have to drive or own a vehicle.
How do I apply for disability license plates?: The disability must be permanent, and the vehicle must be registered to the person with the disability. Take the completed application to a Motor Vehicles office.

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 Plattekill form that does, a commissioned online notary can help.