Bronxville, NY · Westchester County
Handicapped Parking Permit Application
This application is for residents with severe disabilities seeking a parking permit or disability license plates through their local issuing agent or the Department of Motor Vehicles.
What this form is
The application lets a person with a severe disability apply for a parking permit or license plates. For a parking permit, take the completed application to the issuing agent in the city, town, or village where you live; license plate applications go to the Department of Motor Vehicles. It asks for the applicant’s information and disability details, and includes medical certification sections for permanent or temporary disabilities.
Who needs it
Residents with severe disabilities who want a parking permit or disability license plates use this application and may need a medical professional to complete its certification section.
How to submit it
For a parking permit, take the completed application to the appointed issuing agent in the village where you live; do not send it to the Department of Motor Vehicles. For license plates, bring it to a Motor Vehicles office.
About notarization
This document is signed without a notary; the applicant signs Part 1, and a medical professional signs Part 2 when medical certification is required.
How to submit this form
- 1
Download The Application
Download the application and read pages 1 and 2 before completing the application on page 3.
- 2
Complete Part 1
Print the information about the person with the disability, select a parking permit or license plates, and sign Part 1.
- 3
Get Medical Certification
When required, have an eligible medical professional complete the applicable disability certification in Part 2.
- 4
Submit The Application
Take a parking permit application to the appointed issuing agent where you live. Bring a license plate application to a Motor Vehicles office.
Frequently asked questions
- Do I need a notary for the Handicapped Parking Permit Application?
- No. The applicant signs Part 1 without a notary. When required, a medical professional completes and signs the medical certification in Part 2.
- How do I submit the Handicapped Parking Permit Application?
- For a parking permit, take the completed application to the appointed issuing agent in the village where you live. Do not send a permit application to the Department of Motor Vehicles.
- Who can apply for a parking permit?
- The instructions say New York residents with one or more severe disabilities that impair mobility may be eligible. Applicants do not have to be drivers or vehicle owners.
Need something notarized?
This Handicapped Parking Permit Application doesn’t need a notary — but if you have another Bronxville form that does, a commissioned online notary can help.