Rose, NY · Wayne County
Application for Parking Permit or License Plates for Persons With Severe Disabilities
People with severe disabilities use this application to request a parking permit from their local issuing agent or disability license plates from the Department of Motor Vehicles.
What this form is
This application requests a parking permit or license plates for a person with a severe disability. For a parking permit, take the completed application to the issuing agent in the city, town, or village where you live; license plate applications are directed to the Department of Motor Vehicles. It asks for applicant details, the type and basis of the disability, and medical professional certification.
Who needs it
A person with a severe disability, or their parent or guardian, completes this application to request a parking permit or disability license plates.
How to submit it
For a parking permit, take the completed application to the issuing agent in the city, town, or village where you live. For license plates, apply to the Department of Motor Vehicles.
About notarization
This document is signed without a notary; the applicant and certifying medical professional sign and date it, with no notarized or sworn attachment mentioned.
How to submit this form
- 1
Download The Application
Download the application for a parking permit or license plates for persons with severe disabilities.
- 2
Complete Applicant Details
Provide the applicant's contact and identifying information, select the requested option, and describe the disability.
- 3
Get Medical Certification
Have an eligible medical professional complete the medical information and sign and date the application.
- 4
Submit To The Issuing Office
For a parking permit, take the completed application to the issuing agent where you live; apply to the Department of Motor Vehicles for license plates.
Frequently asked questions
- Do I need a notary for the disability parking application?
- No. The applicant and certifying medical professional sign and date the application; it does not mention a notarized or sworn attachment.
- How do I submit a parking permit application?
- Take the completed application to the issuing agent in the city, town, or village where you live. Do not send a parking permit application to the Department of Motor Vehicles.
- Who can certify the medical information?
- The form lists eligible medical professionals, including physicians, physician assistants, nurse practitioners, podiatrists for foot-related disabilities, and optometrists for blindness. Temporary disabilities have narrower certification requirements.