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The NYC disability parking permit form serves as a crucial resource for individuals with disabilities seeking accessible parking options throughout the city. This form allows eligible residents to apply for a parking permit that grants them access to designated parking spaces, ensuring they can navigate urban environments with greater ease. The application process typically requires personal information, including the applicant's name, address, and contact details, as well as documentation that verifies the disability. Medical certification from a licensed healthcare provider is often necessary to substantiate the applicant's eligibility. Once completed, the form must be submitted to the appropriate city agency, which reviews the application and issues permits based on established criteria. Understanding the requirements and procedures associated with this form is essential for individuals who wish to benefit from the accommodations provided by the city, as it helps foster greater independence and mobility for those living with disabilities.

Similar forms

  • State Disability Parking Permit Application: Similar to the NYC form, this application is used to request a parking permit for individuals with disabilities at the state level. Both require medical documentation and personal identification.
  • Temporary Disability Parking Permit: This document allows individuals with temporary disabilities to obtain parking privileges. Like the NYC permit, it has a defined expiration date and requires proof of disability.
  • Accessible Parking Identification Card: Issued by various states, this card serves a similar purpose by identifying vehicles that transport individuals with disabilities. Both documents aim to provide accessible parking options.
  • Veteran Disability Parking Permit: This permit is specifically for veterans with disabilities. It mirrors the NYC permit in that it requires verification of disability status and provides parking benefits.
  • Medical Certification for Disability Parking: This document is often required alongside applications for disability parking permits. It serves to confirm the applicant's disability status, similar to the requirements of the NYC form.
  • State-issued Disability Identification Card: This card verifies an individual’s disability status and may be used in conjunction with parking permits. Both documents facilitate access to necessary services and accommodations.

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Instructions and Application

New York City Special Parking Identification Permit

(a.k.a. City Disability Parking Permit)

Parking Permits for People with Disabilities (PPPD)

[Disabilities that Severely Impair Ability to Walk]

Greetings,

In order to better serve our applicants, the New York City Department of Transportation’s (DOT)

Parking Permits for People with Disabilities (PPPD) Unit has put together a list of frequently asked questions that may help guide new applicants through the application process.

How do I know if I am eligible for a PPPD permit?

If you are a resident or non-resident of the City and have a permanent disability that seriously impairs mobility (YOUR ABILITY TO WALK) and requires the use of a private vehicle for transportation, you may be eligible. Please note that commercial vehicle plates, dealer plates or plates for a rental vehicle cannot be listed on a PPPD permit.

What documentation must I provide for a PPPD permit?

Applicants are required to provide the following documents:

A state-issued driver license, non-driver identification card, or an NYC Municipal ID (IDNYC). Please ensure that the name and address on your application matches the address on your identification card.

A signed application and attached additional supporting medical documentation (dated within one (1) calendar year of your application) of your disability that severely impairs or limits your ability to walk from a Medical Doctor (M.D.), or Doctor of Osteopathy (D.O.). Please see the Medical History Page and the Medical Documentation page on the types of acceptable medical documentation of your disability that severely impairs or limits your ability to walk to submit with your application. You can also contact the medical certification unit directly at 347- 396-6552 for any questions about the required medical documentation.

What type of vehicle information is required?

Applicants are required to provide a copy of current and valid passenger vehicle registration(s) for each license plate that will be listed with the permit (maximum of three plates). Please do not send photos of a vehicle’s windshield sticker. DOT will not accept any license plate number(s) that have an outstanding parking violation judgment with the New York City Department of Finance (DOF). For more information about outstanding parking violation judgments, please visit the DOF website at nyc.gov/DOF. Please note if you plan to list a leased vehicle, you must enclose a copy of the lease agreement for that vehicle.

How should I submit my application?

Review and sign the application;

Enclose all information requested on the application form including supporting medical documentation that records your severe impaired or limited ability to walk and

Mail your form to:

NYC Department of Transportation

Permits & Customer Service (PPPD Unit)

30-30 Thomson Avenue – 2nd Floor

Long Island City, NY 11101-3045

You may also drop off your application at the above address. The DOT entrance is on 30th Place, near 47th Avenue. The customer service window hours are from 9:00 AM to 4:30 PM.

NYC Department of Transportation

 

Permits & Customer Service-PPPD Unit

 

30-30 Thomson Avenue, 2nd Floor

 

(Entrance on 30th Place, near 47th Avenue)

 

Long Island City, New York 11101-3045

 

(718) 433-3100, TTY (212) 504-4115  nyc.gov/dot

City Instructions 4-2018 P. 1

Please note: An application may also be submitted on behalf of an applicant by a spouse, domestic partner as defined in the New York City Administrative Code 1-112(21), parent, guardian, or other individual having legal responsibility for the administration of such person’s day to day affairs. Please enter designee information in Section D of the applicant’s personal history page. Please note the name on the application is required to appear exactly the same as it appears on the identification document. Incomplete applications will be returned.

What will happen after my application is received?

The PPPD Unit will review all documentation to make sure your application is complete. If the application is considered incomplete, they will return the information with a letter describing the missing information needed.

The PPPD office will submit your completed application to DOHMH’s Medical Certification Unit for review. A NYC designated physician will review this application and the supporting medical documents that records your severe impaired or limited ability to walk based on the information you provided that supports a severe impaired mobility as defined in Section 16-02 of Title 24 of the Rules of the City of New York. If the supporting medical documents meet the criteria, DOHMH will certify your supporting medical documents and PPPD will issue you a permit.

If the medical documents reviewed do not meet the criteria DOHMH cannot certify and PPPD will mail you a letter with an explanation of the appeal process.

Please note that the entire application process could take up to ninety (90) days.

All information submitted with this application, and any subsequent medical documentation that the applicant submits to DOHMH, will be kept confidential and will only be shared with those involved in the certification and/or permit process to the extent permitted or required by law.

If you have any questions regarding this application, you may call Customer Service at: (718) 433-3100, for TTY call (212) 504-4115.

If you have any questions about the supporting medical documents please contact the medical certification unit at (347) 396-6552.

We appreciate the opportunity to serve you and thank you for your cooperation.

New York residents may obtain a Voter Registration Form online at: vote.nyc.ny.us or call the Board of Elections:

(212) 868- 3692 Phone Bank: (866) VOTE-NYC. Government services are not conditioned on being registered to vote.

NYC Department of Transportation

 

Permits & Customer Service-PPPD Unit

 

30-30 Thomson Avenue, 2nd Floor

 

(Entrance on 30th Place, near 47th Avenue)

 

Long Island City, New York 11101-3045

 

(718) 433-3100, TTY (212) 504-4115  nyc.gov/dot

City Instructions 4-2018 P. 2

New York City Department of Transportation

NEW YORK CITY SPECIAL PARKING IDENTIFICATION PERMIT

PARKING PERMITS FOR PEOPLE WITH DISABILITIES (PPPD)

Application for a CITY Disability Parking Permit

IDENTIFICATION DOCUMENT: Please attach a copy of your State Issued Driver License or Non-Driver Identification Card; or NYC Municipal ID (IDNYC)

A. APPLICANT’S* PERSONAL HISTORY

*the person with the disability

IDENTIFICATION DOCUMENT #

CIRCLE ONE, indicate State if necessary: Driver License State

Non-driver ID State

IDNYC

Last Name

 

First Name

 

 

M. Initial

Social Security No. (Only the Last 4 Digits Required)

 

 

 

 

 

 

 

 

 

 

Home Address: Street & Apt. No.

 

Sex

 

Height (in feet &

Weight

 

 

 

 

 

(circle):

 

inches):

(in lbs.):

 

 

 

 

 

M

F

 

 

City

State

Zip Code

Home No.

 

Mobile No.

 

 

 

 

 

 

 

 

 

 

Date of Birth

Email Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

B. LICENSE PLATE(S): You must submit a current copy of the passenger vehicle registration(s) for each license plate number(s) listed. Please be advised passenger vehicle registration(s) you submit will be checked for New York City parking violations, any plate(s) with outstanding parking violation judgment(s) will not be printed on your permit. Only three (3) license plates are allowed on each permit.

1.

2.

3.

C. DECLARATION

I declare, under the penalties of the New York Penal Law § 210.45, that statements contained herein are, to the best of my knowledge and belief, true and correct, and that I have not knowingly and willfully made a false statement or given information which I know to be false. I understand that any information given here will be shared only with those involved in the permit process, to the extent permitted or required by law.

DATESIGNATURE OF APPLICANT*(only)

NOTE: If your identification document indicates “Unable to Sign”, please leave the above “Applicant Signature” field blank and please have your designee fill in Section D below. If you will require the services of an interpreter, please

specify in which language:

 

.

D. DESIGNEE – If any of the statements below apply, the designee must sign.

If applicant is under 18 years old, please provide the name and telephone number of the parent, guardian, or other individual having legal responsibility for the administration of applicant’s day to day affairs.

If the applicant is 18 years old or older and is unable to sign the application and/or requires assistance in filling out this application, please provide the telephone number of the spouse, domestic partner, guardian, or other individual assisting and/or having legal responsibility for the administration of applicant’s day to day affairs.

Name

Telephone

Relationship

Signature of Designee

NYC Department of Transportation

 

Permits & Customer Service-PPPD Unit

 

30-30 Thomson Avenue, 2nd Floor

 

(Entrance on 30th Place, near 47th Avenue)

 

Long Island City, New York 11101-3045

 

(718) 433-3100, TTY (212) 504-4115  nyc.gov/dot

City Instructions 4-2018 P. 3

MEDICAL HISTORY PAGE

[Disabilities that Severely Impair Ability to Walk]

NOTE: TO BE COMPLETED BY YOUR PERSONAL PHYSICIAN (M.D. or D.O.)

MEDICAL HISTORY AND STATUS for:

Name of Applicant (as listed on the State-issued Driver License or Non- Driver ID Card; or IDNYC):

Name of Applicant as it appears on Medical Records (if different):

Applicant’s Date of Birth

-

-

Name of Applicant

A NYC designated physician will review this application and the supporting medical documents based on the information you provide that supports a severe impaired mobility as defined in Section 16-02 of Title 24 of the Rules of the City of New York.

State current medical diagnosis:

AND impact on patient’s ABILITY TO WALK:

State current NEED FOR ASSISTIVE DEVICE (if any): Cane Walker Wheelchair Brace Prosthesis Scooter Other

Provide supporting medical documents such as the most recent exam notes/chart notes dated within one (1) calendar year that describes your patient’s severe impaired or limited ability to walk and as indicated any diagnostic reports (e.g. X- Ray report, CT reports, MRI reports, EKG/Stress Test reports, PFT reports, EMG results, Six Minute Walk Test) to submit with this application. NO MEDICAL CDs or FILMS will be accepted.

Date of last examination: - -ATTACH EXAM NOTE

In your medical opinion, does this person have a disability that severely impairs their ability to walk and requires the use of a private automobile for transportation?

Yes No

Personal Physician’s Certification of the Applicant:

I affirm that I have personally examined the above named applicant and that the information presented in this application relating to this person’s walking disability is accurate.

By signing below you are certifying that the information you are providing is true and complete, any false written statements may be punishable under section 210.45 of the NYS Penal Law. In addition, any of your written false statements may be reported to the NYS Department of Health Office of Professional Medical Conduct.

 

SIGNATURE OF M.D or D.O.

(PRINT NAME OF M.D or D.O.)

PROFESSIONAL LICENSE #,

 

 

 

 

 

STATE

 

 

 

 

 

 

 

 

DATE

ADDRESS

TELEPHONE NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NYC Department of Transportation

 

 

 

 

Permits & Customer Service-PPPD Unit

 

 

 

 

30-30 Thomson Avenue, 2nd Floor

 

 

 

 

(Entrance on 30th Place, near 47th Avenue)

 

 

 

 

Long Island City, New York 11101-3045

 

 

 

 

(718) 433-3100, TTY (212) 504-4115  nyc.gov/dot

 

 

City Instructions 4-2018 P. 4

Medical Documentation to include with your New York City Special Parking Identification Permit (a.k.a. Parking Permit for People with Disabilities Application)

Please request from your Medical Doctor or Doctor of Osteopathy:

1.Supporting medical documentation dated within one (1) calendar year of your application. This documentation must include diagnostic testing/reports in addition to the doctor’s legible exam notes. Submitting a doctor’s letter stating that you have a disability, without the documentation, will not be accepted.

2.Your physician(s) exam notes must document the severity of impairment to your mobility. (Ability to walk).

Below are examples of supporting medical documents based on medical conditions:

Cardiovascular: Exam notes, EKG, Echocardiogram, Stress Test (report only), Doppler, and Angiography. Please state exertional capacity.

Pulmonary: Exam notes, PFT’s CXR CT Scan, report need for supplemental oxygen greater than 12 hours a day.

Back pain/Arthritis: Rheumatology Orthopedic, Neurology exam notes, MRI, X-Ray, EMG reports, summary of surgical history, need for assistive device (cane, walker, brace, wheel chair, etc.).

Cancer Diagnosis: Oncology Notes – current status, ongoing therapy – Chemo, radiation etc. surgical history.

Chronic renal failure: Dialysis, transplant status, recent lab data, documentation of ongoing treatment from dialysis unit.

Congenital conditions (Cerebral Palsy, Downs, etc.): Physical exam notes, Orthopedics, Neurology, or appropriate specialty.

Mental Health Conditions: Psychological evaluation, Exam notes, Individual Education Program (IEP) reports, and/or Neurology exam.

Neurological Conditions (Stroke, Neuropathy, Paralysis and Dementia): Most recent exam notes, MRI EMG, need for assistive device/home care.

If you have any additional questions about the required medical documents to include with your application, please call the NYC Department of Health and Mental Hygiene’s Medical Certification Unit at:(347) 396-6552.

NYC Department of Transportation

 

Permits & Customer Service-PPPD Unit

 

30-30 Thomson Avenue, 2nd Floor

 

(Entrance on 30th Place, near 47th Avenue)

 

Long Island City, New York 11101-3045

 

(718) 433-3100, TTY (212) 504-4115  nyc.gov/dot

City Instructions 4-2018 P. 5

New York City Department of Transportation

NEW YORK CITY SPECIAL PARKING IDENTIFICATION PERMIT PARKING PERMITS FOR PEOPLE WITH DISABILITIES (PPPD)

CHECKLIST for a CITY Disability Parking Permit

To ensure completion of your application, please read all instructions on the City application and the medical history page.

All applicants: If any information listed below is missing, your application will be mailed back to you:

1.Did you attach a copy of your identification document (a state- issued Driver License, Non-Driver Identification Card; or, NYC Municipal ID card a.k.a IDNYC)? [See What documentation must I provide for a PPPD permit? on Page 1, Instructions]

2.Did you attach a copy of your passenger vehicle registration(s) for each license plate that would appear on the City permit? Are they all current (i.e. not expired)? [See What type of vehicle information is required? on Page 1, Instructions]

3.Are all of your passenger vehicle registration(s) current (i.e., not expired)? [See What type of vehicle information is required? on Page 1, Instructions]

4. Did you check to make sure that the name and address on your application matches the address on your identification card?

5.Does the name on your supporting medical documentation match the name(s) listed on your Medical History Page? [see Medical History, Page 4]

6.Did your doctor completely fill out the applicant’s medical information, including signing and dating the medical history page? [see Medical History, Page 4]

7.

8.

NYC Department of Transportation Permits & Customer Service-PPPD Unit 30-30 Thomson Avenue, 2nd Floor (Entrance on 30th Place, near 47th Avenue) Long Island City, New York 11101-3045

(718) 433-3100, TTY (212) 504-4115  nyc.gov/dot

Is all of your supporting medical documentation (e.g., Exam Notes/Chart Notes, X- Ray/CT/MRI Reports, EKG/Stress Test, consultant reports, etc.) attached? Are all documents dated within one (1) calendar year of your application? [see DOHMH Medical Documentation

Information, Page 5]

Are all of your forms completely filled out? Did you sign and date the Application?

City Instructions 4-2018 P. 6

Common mistakes

Applying for a disability parking permit in New York City is an important step for many individuals who require accessible parking. However, mistakes during the application process can lead to delays or even denials. One common error is failing to provide complete information. Applicants often overlook sections that require detailed personal data, such as their address or contact information. Incomplete forms may result in the application being returned, causing unnecessary frustration.

Another frequent mistake involves not including the necessary supporting documentation. The application requires specific medical documentation that verifies the applicant’s disability. Some individuals mistakenly assume that their word alone is sufficient. Without proper medical evidence, the application can be rejected. It is crucial to gather all required documents before submission to avoid this pitfall.

Additionally, applicants sometimes misinterpret the eligibility criteria. The guidelines for obtaining a disability parking permit can be complex, leading to confusion. Some people may believe they qualify when they do not, while others may not realize they are eligible. It is essential to carefully read the requirements and, if needed, seek clarification to ensure that the application is appropriate for their situation.

Lastly, failing to sign and date the application is a surprisingly common mistake. An unsigned application will not be processed, and applicants may not realize this until they receive a notice of denial. Taking the time to review the entire form before submission can help catch this simple yet critical oversight. Ensuring all sections are complete and properly signed will streamline the process and increase the chances of approval.

More About NYC disability parking permit

  1. What is the NYC disability parking permit?

    The NYC disability parking permit allows individuals with disabilities to park in designated spaces throughout the city. This permit provides easier access to public facilities and ensures that those with mobility challenges can find suitable parking options.

  2. Who is eligible for the permit?

    Eligibility for the NYC disability parking permit includes individuals who have a qualifying disability. This typically means having a condition that severely limits mobility. Documentation from a medical professional is usually required to confirm this status.

  3. How do I apply for the permit?

    To apply, you need to complete the application form available on the NYC Department of Transportation website. Gather the necessary documentation, including proof of residency and medical certification, and submit your application online or by mail.

  4. What documents do I need to provide?

    When applying, you will need:

    • A completed application form
    • Proof of residency in New York City
    • Medical documentation verifying your disability

  5. How long does it take to receive the permit?

    The processing time can vary, but typically, you should expect to receive your permit within 4 to 6 weeks after submitting your application. If there are any issues or missing documents, it may take longer.

  6. Can I use the permit in other states?

    While the NYC disability parking permit is primarily valid in New York City, some states recognize it. However, it is essential to check the specific parking regulations in the state where you plan to park to avoid any fines.

  7. What should I do if my permit is lost or stolen?

    If your permit is lost or stolen, report it immediately to the NYC Department of Transportation. You will need to fill out a replacement application and may be required to provide additional information to verify your identity.

  8. Can I renew my permit?

    Yes, the NYC disability parking permit needs to be renewed periodically. The renewal process is similar to the initial application. You will need to provide updated documentation and submit a renewal application before the expiration date to avoid any lapses in your parking privileges.

Misconceptions

Misconceptions about the NYC disability parking permit form can lead to confusion and frustration. Here are eight common misunderstandings, along with clarifications.

  1. Only individuals with severe disabilities can apply.

    This is not true. The permit is available to individuals with a range of disabilities that affect their mobility, not just those with severe conditions.

  2. The permit is only for use in New York City.

    In fact, the NYC disability parking permit is valid throughout the state of New York and in many other states, depending on local laws.

  3. Once issued, the permit never expires.

    Permits do expire. It is important to check the expiration date and renew the permit as needed to avoid penalties.

  4. There is a fee to apply for the permit.

    Applying for the NYC disability parking permit is free of charge. However, there may be fees associated with renewing or replacing a lost permit.

  5. All vehicles can use the permit regardless of ownership.

    The permit must be displayed in a vehicle that is registered to the permit holder or a family member. It cannot be used in a vehicle owned by someone else.

  6. The application process is overly complicated.

    The application process is straightforward. It involves filling out a form and providing necessary documentation, such as proof of disability.

  7. Only permanent disabilities qualify for the permit.

    Temporary disabilities may also qualify. Individuals recovering from surgery or injuries can apply for a temporary permit.

  8. The permit allows parking anywhere in the city.

    The permit does not grant unlimited parking privileges. It is important to follow local parking regulations, as some areas may have restrictions.

Key takeaways

When applying for a NYC disability parking permit, understanding the process is crucial. Here are nine key takeaways to ensure a smooth experience:

  1. Eligibility Requirements: You must meet specific criteria to qualify for a disability parking permit. This includes having a qualifying disability as defined by the city.
  2. Required Documentation: Gather all necessary documents before starting the application. This typically includes proof of your disability and identification.
  3. Application Form: Complete the official NYC disability parking permit application form accurately. Incomplete or incorrect forms can lead to delays.
  4. Submission Methods: You can submit your application by mail or in person at designated locations. Choose the method that best suits your needs.
  5. Processing Time: Be aware that processing your application may take several weeks. Plan ahead to avoid any inconvenience.
  6. Renewal Process: Disability parking permits are not permanent. Familiarize yourself with the renewal process to maintain your parking privileges.
  7. Displaying the Permit: Ensure that the permit is displayed correctly in your vehicle. Failure to do so may result in fines.
  8. Use of Permit: Understand where and how you can use the permit. Certain restrictions may apply, so review the guidelines carefully.
  9. Appeal Process: If your application is denied, you have the right to appeal. Familiarize yourself with the steps involved in the appeal process.

By keeping these points in mind, you can navigate the application process more effectively and secure the parking permit you need.

NYC disability parking permit: Usage Guide

Filling out the NYC disability parking permit form is a straightforward process that can help individuals gain access to necessary parking accommodations. It’s essential to approach this task with care to ensure that all information is accurate and complete. Here are the steps you will need to follow to successfully fill out the form.

  1. Obtain the form from the NYC Department of Transportation website or a local office.
  2. Begin by filling in your personal information, including your name, address, and contact details.
  3. Provide your date of birth and any identification number required, such as a driver's license number or Social Security number.
  4. Indicate your disability status by checking the appropriate box and providing any necessary documentation or details.
  5. List any additional information that may be required, such as your vehicle details, including make, model, and license plate number.
  6. Review the form for accuracy, ensuring all sections are completed and that there are no errors.
  7. Sign and date the form, confirming that all information provided is true and complete.
  8. Submit the form either online, by mail, or in person, following the instructions provided on the form.

After submission, you will receive a confirmation or further instructions regarding the processing of your application. Stay informed about any updates or additional requirements that may arise during this time.