Warsaw, NY · Wyoming County
Application for Parking Permit or License Plates for Persons With Severe Disabilities
This application is for residents with severe disabilities who seek a parking permit or license plates and submit the form to their local issuing agent or DMV.
What this form is
The application lets a person with a severe disability request a parking permit or license plates. For a parking permit, applicants take the completed form to the issuing agent in the city, town, or village where they live; the form says not to send permit applications to DMV. It asks for the applicant’s contact and disability information, a medical certification, and the requested permit or plates.
Who needs it
A resident with a severe disability who wants a parking permit or disability license plates needs to complete this application.
How to submit it
Take the completed application to the appointed issuing agent for the city, town, or village where you live; call your local city, town, or village hall to find the nearest agent. Do not send a parking permit application to DMV.
About notarization
This application is signed and dated without a notary; the medical professional signs and dates the medical certification.
How to submit this form
- 1
Download The Application
Download the parking permit or license plates application PDF.
- 2
Complete Part 1
Print the applicant’s information, select the requested permit or plates, and sign and date the application.
- 3
Get Medical Certification
Have an eligible medical professional complete and sign Part 2 when medical certification is required.
- 4
Submit To The Issuing Agent
For a parking permit, take the completed application to the issuing agent for the city, town, or village where you live.
Frequently asked questions
- Do I need a notary for the parking permit application?
- No. The applicant signs and dates Part 1, and the medical professional signs and dates the medical certification in Part 2; no notary is specified.
- How do I submit the parking permit application?
- Take the completed application to the appointed issuing agent in the city, town, or village where you live. The form advises calling your local hall to locate an agent and says not to send it to DMV.
- Who can apply for a parking permit?
- The form says a New York State resident with one or more severe disabilities that impair mobility may be eligible. Applicants do not need to drive or own a vehicle.