Somers, NY · Westchester County
Handicap Parking Permit Application
New York residents with severe disabilities use this application to request a parking permit or disability license plates through the appropriate issuing agent or DMV.
At a glance
- Issued by
- City of Somers · Somers, Westchester County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- cdn.prod.website-files.com
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This application lets a person with a severe disability request a parking permit or license plates. For a parking permit, submit the completed application to the issuing agent in the city, town, or village where you live; license plate requests go to the Department of Motor Vehicles. The form asks for the applicant’s information and disability details, and includes a medical certification section that may need completion by a qualified medical professional.
Who needs it
A person with a severe disability who wants 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 issuing agent in the city, town, or village where you live; do not send it to the Department of Motor Vehicles. For license plates, take 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, with no notarized or sworn attachment specified.
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 the Applicant Section
Fill out Part 1 with the applicant’s information and select a parking permit or license plates.
- 3
Arrange Medical Certification
Have a qualified medical professional complete the applicable certification section when required.
- 4
Submit the Application
For a permit, take it to the local issuing agent where you live. For license plates, take it to a Motor Vehicles office.
Frequently asked questions
- Do I need a notary for the Handicap Parking Permit Application?
- No. This application is signed without a notary. The applicant and medical professional sign and date their sections; no notarized or sworn attachment is specified.
- How do I submit the Handicap Parking Permit Application?
- For a parking permit, take the completed application to the issuing agent in the city, town, or village where you live. For license plates, take it to a Motor Vehicles office.
- Who can apply for a parking permit?
- A New York resident with one or more severe disabilities that impair mobility may be eligible. The instructions say applicants do not have to be drivers or vehicle owners.
- Does the application require medical certification?
- The application includes a medical certification section. The instructions describe who may certify permanent or temporary disabilities and note that some permanent disabilities may qualify for a waiver.
Need something notarized?
This Handicap Parking Permit Application doesn’t need a notary, but if you have another Somers form that does, a commissioned online notary can help.