Port Carbon, PA · Schuylkill County
Handicapped Parking Space Application
Port Carbon residents apply for a handicapped parking space using this form, which requests applicant, vehicle, disability credential, and physician certification information.
What this form is
This application requests a handicapped parking space in the Borough of Port Carbon. It asks for applicant and vehicle details, disability credential information, and proof of a qualifying condition, including physician certification dated within the previous 60 days. New applications are reviewed by the Port Carbon Police Department and forwarded to Borough Council for final action; the form states that incomplete applications may be denied.
Who needs it
A person seeking a handicapped parking space in Port Carbon should complete this application and provide the required documentation and payment.
How to submit it
Submit the completed application, required documentation, and $100 fee to the Borough Secretary, Borough of Port Carbon, 301 First Street, P.O. Box 71, Port Carbon, PA 17965; checks are payable to the Borough of Port Carbon.
About notarization
This application is signed and dated without a notary; attach a copy of the plate registration or placard card and physician certification dated within the previous 60 days.
How to submit this form
- 1
Download The Application
Download the Handicapped Parking Space Application PDF.
- 2
Complete The Application
Fill in applicant, person, vehicle, disability credential, and qualifying condition information, then sign and date the certification.
- 3
Gather Required Documents
Attach a copy of the plate registration or placard card and physician certification dated within the previous 60 days.
- 4
Submit To The Borough
Send the application, required documentation, and $100 fee to the Borough Secretary at the address printed on the form.
Frequently asked questions
- Do I need a notary for the Handicapped Parking Space Application?
- No. The application has a space for the applicant's signature and date, but no notary block. Attach a copy of the plate registration or placard card and physician certification dated within the previous 60 days.
- How do I submit the Handicapped Parking Space Application?
- Send the completed application, required documentation, and $100 fee to the Borough Secretary at 301 First Street, P.O. Box 71, Port Carbon, PA 17965. Make checks payable to the Borough of Port Carbon.
- What documents must accompany the application?
- Attach a copy of the plate registration or placard card and physician certification that confirms an examination within the previous 60 days and is dated within that period.
- What is the application fee?
- The application lists a $100 fee and says payment must accompany the application for processing. It also lists a $25 renewal fee due no later than January 31 each year after permit issuance.
