Whitehall, NY · Washington County
Application for Parking Permit or License Plates for Persons With Severe Disabilities
This application is for New York residents with severe disabilities who seek a parking permit or disability license plates.
At a glance
- Issued by
- City of Whitehall · Whitehall, Washington County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- whitehallny.org
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
The application lets a person with a severe disability request a parking permit or license plates and explains the eligibility and use rules. Applicants complete Part 1, and a qualified medical professional completes the medical certification in Part 2 when required. The instructions say to take a parking permit application to the appointed issuing agent where the applicant lives; license plate requests go to a Motor Vehicles office.
Who needs it
A New York resident with a severe disability who wants a parking permit or license plates should complete this application.
How to submit it
Take the completed application to the appointed issuing agent for the city, town, or village where you live. The instructions say to call your local city, town, or village hall to find the nearest agent.
About notarization
This application is signed and dated without a notary; a qualified medical professional completes and signs the medical certification when required.
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, select the requested permit or plates, and sign.
- 3
Get Medical Certification
When required, have a qualified medical professional complete and sign the applicable medical certification in Part 2.
- 4
Submit The Application
For a parking permit, take the completed application to the appointed issuing agent where you live; call your local hall to locate an agent.
Frequently asked questions
- Who can apply for a disability parking permit?
- The instructions say New York residents with one or more severe disabilities that impair mobility may be eligible. Children and people who are legally blind may also qualify.
- Do I need a notary for the disability parking application?
- No. The application is signed and dated without a notary. A qualified medical professional completes and signs the medical certification when required.
- 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. Call your local city, town, or village hall to find the nearest agent.
- Does this application cover license plates too?
- Yes. Part 1 lets you indicate whether you want license plates or a parking permit. The instructions say license plate applications are handled at a Motor Vehicles office.