Larchmont, NY · Westchester County

No notary required

Application for a Parking Permit or License Plates for People with Disabilities

New York residents with qualifying mobility disabilities use this application to request a parking permit from their local municipality or special license plates from the DMV.

At a glance

Issued by
City of Larchmont · Larchmont, Westchester County, New York
Notarization
Not required: file this form without a notary.
Official source
dmv.ny.gov
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

This application lets eligible New York residents request a parking permit from the city, town, or village where they live, or request special license plates from the DMV. For a first-time permit application or a license-plate request, a qualified medical professional must complete the medical certification section; permanent-permit renewals do not require new certification. The application asks for the applicant’s contact and disability information and, when applicable, medical details.

Who needs it

A New York resident with a qualifying mobility disability who is applying for a parking permit or special license plates should complete this application.

How to submit it

For a parking permit, take the completed application to the city, town, or village that issues permits where you live. For special license plates, bring the completed application to any Motor Vehicles office.

About notarization

This application is signed without a notary; first-time permit applications and license-plate requests require medical certification from an eligible professional.

How to submit this form

  1. 1

    Download The Application

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

  2. 2

    Complete Part 1

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

  3. 3

    Get Medical Certification

    For a first-time permit or license plates, have an eligible medical professional complete the applicable section in Part 2.

  4. 4

    Submit The Application

    Take a parking permit application to the issuing local municipality; bring a license-plate application to any Motor Vehicles office.

Frequently asked questions

Who can apply for a disability parking permit?
New York residents with one or more severe disabilities that impair mobility may be eligible. Applicants do not need a driver license or a vehicle.
Do I need a notary for this application?
No. The application is signed without a notary. First-time permit applications and license-plate requests require medical certification from an eligible professional.
How do I submit a parking permit application?
Take the completed application to the city, town, or village that issues parking permits where you live. The document says not to send parking permit applications to the DMV.
Where do I apply for special license plates?
Bring the completed application to any Motor Vehicles office. The document says the disability must be permanent and the vehicle must be registered to the person with the disability.

Need something notarized?

This Application for a Parking Permit or License Plates for People with Disabilities doesn’t need a notary, but if you have another Larchmont form that does, a commissioned online notary can help.