Penbrook, PA · Dauphin County
Handicap Parking Space Request
Penbrook residents use this application to request a handicap parking space at their residence or renew an existing space.
What this form is
Use this application to request a handicap parking space or renew an existing one. The form lists eligibility criteria, including having a valid driver’s license and a qualifying mobility impairment, and asks for applicant, residence, vehicle, and physician information. The initial application fee is $100, and the annual renewal fee is $10; the Borough describes a review process that includes police, staff, and Borough Council.
Who needs it
A resident seeking a handicap parking space or renewing an existing space must complete this application and meet the listed eligibility criteria.
How to submit it
Return the form and payment to Penbrook Borough, 150 S. 28th Street, Harrisburg, PA 17103; the form lists a $100 initial application fee and a $10 annual renewal fee.
About notarization
This request is signed and dated without a notary; the applicant certifies under penalty of perjury that the information is true, complete, and accurate.
How to submit this form
- 1
Download The Application
Download the Handicap Parking Space Request for an initial application or annual renewal.
- 2
Complete The Form
Check the applicable eligibility criteria and provide the requested applicant, residence, vehicle, and physician information.
- 3
Sign And Date
Sign and date the certification confirming the information is true, complete, and accurate.
- 4
Include Payment And Return
Include the listed application or renewal fee and return the form and payment to Penbrook Borough at the address shown.
Frequently asked questions
- Do I need a notary for a handicap parking space request?
- No. The applicant signs and dates the request without a notary and certifies under penalty of perjury that the information is accurate.
- How do I submit a handicap parking space request?
- Return the completed form and payment to Penbrook Borough, 150 S. 28th Street, Harrisburg, PA 17103.
- What fees does the application list?
- The form lists a $100 fee for an initial application and a $10 fee for an annual renewal.
- What information does the request ask for?
- It asks for applicant and residence details, vehicle and registration information, physician details, and information about the applicant’s impairment and assistive devices.