Port Carbon, PA · Schuylkill County

No notary required

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. 1

    Download The Application

    Download the Handicapped Parking Space Application PDF.

  2. 2

    Complete The Application

    Fill in applicant, person, vehicle, disability credential, and qualifying condition information, then sign and date the certification.

  3. 3

    Gather Required Documents

    Attach a copy of the plate registration or placard card and physician certification dated within the previous 60 days.

  4. 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.

Need something notarized?

This Handicapped Parking Space Application doesn’t need a notary — but if you have another Port Carbon form that does, a commissioned online notary can help.