APPLICATION FOR A METERED PARKING WAIVER FOR PERSONS WITH SEVERE DISABILITIES Preview on Page 1

APPLICATION FOR A METERED PARKING WAIVER FOR PERSONS WITH SEVERE DISABILITIES 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling out the 'Information About Person with Disability' section. Clearly print your last name, first name, middle initial, sex, date of birth, address, and telephone number.
  3. Enter your New York State driver license number and expiration date. Ensure the expiration date is valid.
  4. Indicate if you have license plates or a parking permit for persons with disabilities by checking 'Yes' or 'No' and providing the respective numbers if applicable.
  5. Read the certification statement carefully and sign where indicated. If applicable, include your relationship to the person with a disability.
  6. Have a licensed physician complete the Medical Certification section. They must check all relevant disabilities listed in Part B and provide their details.
  7. Once completed, bring your application to the issuing agent in your area for processing.

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