Form-664.1 - Application For A Parking Permit Or License Plates For Persons With Severe Disabilities
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4HOW TO APPLY FOR A PARKING PERMIT OR LICENSE PLATES
FOR PERSONS WITH SEVERE DISABILITIES
dmv.ny.gov
GENERAL INSTRUCTIONS
Please read pages 1 and 2 of this packet before you complete the application on page 3. You are eligible for a special parking permit or license
plates if you are a New York State resident who has one or more severe
that impair your
. For a description of
disabilities
mobility
these
see Part 2 of the application on page 3 of this packet. A parking permit may be issued for either a permanent or temporary disability.
disabilities
Permits are
issued in the name of the person with the disability
. You
do not
have to be a driver, or the registered owner of a vehicle, to get a
parking permit. Children of any age who have a severe disability are eligible for permits, as are persons who are legally blind.
1)
:
To apply for the parking permit
(a) Fill out Part 1 of the application on page 3. If you have a
have a Medical Doctor, Doctor of
PERMANENT DISABILITY,
Osteopathy, Physician Assistant, Nurse Practitioner, Doctor of Podiatric Medicine (for disabilities related to the foot) or Optometrist
(for blindness) fill out the “permanent disability” Medical Certification section in Part 2 of the application form and return the form to
you. If you have a
TEMPORARY DISABILITY
that requires the use of an assistive device, have a Medical Doctor or Doctor of
Osteopathy fill out the “temporary disability” Medical Certification section in Part 2 of the application form and return the form to you.
NOTE: If you have a permanent disability, the need for medical certification may be waived by the issuing agent if you have an obvious,
visually-identifiable disability (such as the loss of a leg)
if you
have license plates for persons with severe disabilities.
OR
already
(b)
You must take your completed application to the appointed issuing agent for the city, town, or village where you live. DO NOT
If
SEND YOUR APPLICATION TO THE DEPARTMENT OF MOTOR VEHICLES (DMV)- DMV DOES NOT ISSUE PARKING PERMITS.
you have a driver license or a non-driver ID card that is issued by the NYS DMV, you must show the document to the issuing agent. The
issuing agent will write on your permit the last three digits of the nine-digit number that is printed on your license or non-driver ID card to
help law enforcement identify the actual permit holder and help limit abuse. YOU ARE NOT REQUIRED TO HAVE A DRIVER
LICENSE OR NON-DRIVER ID ISSUED BY THE NYS DMV IN ORDER TO GET A PERMIT, UNLESS YOU ARE A NEW YORK
CITY RESIDENT (a permit will not be issued to a New York City resident who does not provide a copy of his or her driver license or non-
driver ID card with the permit application, as described below).
NEW YORK CITY RESIDENTS
-
The New York City Department of Transportation (NYC DOT) issues permits to residents of
New York City. If you are a New York City resident who needs a permit, you must send your application
a copy of your driver
and
license or non-driver ID card to the NYC Department of Transportation, Permits and Customer Service, 30-30 Thomson Avenue,
2nd Floor, Long Island City, NY 11101-3045. Call (718) 433-3100 for more information.
If you do not provide a copy of your
If you have plates for persons with
driver license or non-driver ID card with your application, NYC DOT will not issue a permit.
severe disabilities, complete Part 1 and attach a copy of your registration. If you have custom plates for persons with severe
disabilities, attach a photo of your plate showing the International Symbol of Access. Please read important information about
“PARKING IN NEW YORK CITY” on page 2.
Call (516) 227-7399 (the Nassau County Office of the Physically Challenged) to find out where
NASSAU COUNTY RESIDENTS -
to apply for a permit.
Call your local city, town or village hall to find out where the nearest agent who
ALL OTHER NEW YORK STATE RESIDENTS -
issues permits is located.
Most city, town or village clerks, and some police departments, issue permits
. Most agents accept form
MV-664.1, but some agents have their own application form, and not all agents issue permits for temporary disabilities.
2)
To apply for license plates:
(a) Your disability
be permanent.
must
(b) The vehicle on which the special plates will be used must be
. A person must be at
registered to the person with the disability
least age 16 to have a vehicle registered in his or her name.
(c) Fill out Part 1 of the application on page 3. A Medical Doctor, Doctor of Osteopathy, Physician Assistant, Nurse Practitioner,
Doctor of Podiatric Medicine (for disabilities related to the foot) or Optometrist (for blindness) must fill out the “Permanent Disability”
section in Part 2 of the application form and return the form to you. NOTE: The need for a medical certification may be waived by the
Motor Vehicles office if you are permanently disabled and have an obvious, visually-identifiable disability (such as the loss of a leg)
if you have a permanent (blue) parking permit for the disabled. Permit holders should bring the permit with them and, also, fill
OR
out Part 1 of the application and attach a copy of the permit application showing the medical certification or doctor’s statement.
(d) You can
. Bring the completed application with you.
get the plates at any Motor Vehicles office
-
To register your vehicle for the first time, you must provide all of the items required for an original registration and include proof
of your disability.
-
If you have plates on your car, bring the plates with you to exchange for plates for persons with severe disabilities. You must fill out a
registration application (form MV-82) and pay $25.00 for the new plates that show the International Symbol of Access (ISA).
-
If this transaction is done at any time other than when you renew a vehicle registration, you will have to pay an additional $3.75
transaction fee.
-
Personalized plates with the ISA are available from DMV’s Custom Plates office. For information, call (518) 402-4838.
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