Perry, NY · Wyoming County
Disabled License Plate & Parking Permit Application
New York residents with qualifying mobility disabilities use this application to request disability license plates or a parking permit.
What this form is
The application is for a person with a severe disability that impairs mobility to request disability license plates or a parking permit. The applicant completes Part 1, and a physician or podiatrist completes the medical certification in Part 2 unless an instruction-listed waiver applies. It also includes conditions for using the plates and permits and sections for the issuing agent and medical certification.
Who needs it
A person with a qualifying mobility disability who is applying for disability license plates or a parking permit needs this application.
How to submit it
For a parking permit, contact the local city, town, or village hall to find an issuing agent, then take the completed application to the agent in your area. For license plates, bring the completed application to a Motor Vehicles office.
About notarization
This application is signed without a notary; the applicant and medical professional sign and date their respective sections.
How to submit this form
- 1
Download The Application
Download the Disabled License Plate & Parking Permit Application PDF.
- 2
Complete Part 1
The person with the disability, or their parent or guardian, fills in and signs Part 1.
- 3
Get Medical Certification
Have a physician or podiatrist complete Part 2, unless an instruction-listed waiver applies.
- 4
Submit The Application
For a permit, take it to the local issuing agent. For license plates, bring it to a Motor Vehicles office.
Frequently asked questions
- Do I need a notary for the Disabled License Plate & Parking Permit Application?
- No. The applicant and medical professional sign and date their respective sections; the form does not require notarization.
- How do I submit the Disabled License Plate & Parking Permit Application?
- For a parking permit, contact your local city, town, or village hall to find an issuing agent and take the completed application there. For license plates, bring it to a Motor Vehicles office.
- Who completes the medical certification?
- A medical doctor, doctor of osteopathy, or doctor of podiatric medicine completes Part 2, unless an instruction-listed waiver applies.
- Can I apply for a parking permit if I do not drive?
- Yes. The instructions say you do not need to be a driver or the registered owner of a vehicle to get a parking permit.