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Disabled parking permit application form

Application parking disabilities 2026

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The document outlines the application procedure for obtaining a parking permit for persons with disabilities in the Town of Brookhaven. It details eligibility criteria, identification and residency requirements, and the process for applying for new, renewal, or replacement permits. The document specifies that permits are available for both permanent and temporary disabilities, with distinct application requirements for each. It emphasizes the need for medical certification and proper documentation to support the application.

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Click ‘Get Form’ to open the application for Parking Permit for Persons with Disabilities in the editor.
Begin by filling out Part I of the application. Enter your name, address, and contact information. If you are under 18, a parent or guardian must sign on your behalf.
In Part II, ensure that a qualified medical professional completes the section regarding your diagnosis. This is crucial for both temporary and permanent disabilities.
If applicable, provide proof of residency by attaching a recent utility bill or bank statement if your ID does not reflect your current address.
Review all sections for accuracy before submitting. Ensure that you include any required identification and return the completed form by mail to the Town Clerk’s Office.

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