Rush Notary

Whitehall, NY · Washington County

No notary required

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

This application is for Whitehall 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 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 Part 2 unless the stated exception for certain permanent disabilities applies. Parking permit applications go to the local issuing agent; license plate applications are taken to a Motor Vehicles office.

Who needs it

Whitehall residents with a severe disability who want a parking permit or disability license plates should complete this application.

How to submit it

For a parking permit, take the completed application to the appointed issuing agent for your municipality; call your local city, town, or village hall to find the nearest agent. For license plates, bring the completed application to a Motor Vehicles office.

About notarization

This document is signed without a notary; the applicant and medical professional sign and date their sections, and no notarized attachment is described.

How to submit this form

  1. 1

    Download the Application

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

  2. 2

    Complete Part 1

    Fill in the applicant information and sign Part 1, selecting a parking permit or license plates.

  3. 3

    Complete Medical Certification

    Have a qualified medical professional complete the applicable section of Part 2, unless an exception for permanent disabilities applies.

  4. 4

    Submit the Application

    For a permit, take it to the local issuing agent; for plates, bring it to a Motor Vehicles office.

Frequently asked questions

Do I need a notary for the disability parking application?
No. The applicant and medical professional sign and date their sections; the document does not describe a notarized attachment.
How do I submit a parking permit application in Whitehall?
Take the completed application to the appointed local issuing agent. The instructions say to call your local city, town, or village hall to find the nearest agent.
Who can apply for a parking permit?
A New York resident with one or more severe disabilities that impair mobility may be eligible. The application includes criteria for permanent and temporary disabilities.
Can this application be used to request disability license plates?
Yes. The application includes an option for license plates, which require a permanent 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 Whitehall form that does, a commissioned online notary can help.