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Application For A Parking Permit Or License Plates For Persons With Severe Disabilities MV-664.1 - New York
| Application For A Parking Permit Or License Plates For Persons With Severe Disabilities Form. This is a New York form and can be used in Department Of Motor Vehicles Statewide . |
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New York State Department of Motor Vehicles HOW TO APPLY FOR A PARKING PERMIT OR LICENSE PLATES FOR PERSONS WITH SEVERE DISABILITIES www.dmv.ny.gov GENERAL INSTRUCTIONS Please read pages 1 and 2 of this packet before completing 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 disabilities that impair your mobility. For a description of qualifying disabilities see Part 2 of the application on page 3 of this packet. 1) If you are applying for the parking permit: NOTE: DO NOT SEND YOUR APPLICATION TO THE DEPARTMENT OF MOTOR VEHICLES. DMV DOES NOT ISSUE PARKING PERMITS. (a) A parking permit may be issued for either a permanent or temporary disability. (b) 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 who have a qualifying disability are eligible for permits at any age, as are persons who are legally blind. (c) Fill out Part 1 of the application on page 3. If you have a PERMANENT DISABILITY, have a Medical Doctor, Doctor of 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) OR if you already have license plates for persons with severe disabilities. (d) You must take your completed application to the appointed issuing agent for the city, town or village where you live. If you have a driver license or a non-driver ID card issued by NYS DMV, you must show it to the issuing agent in order to obtain a permit. The issuing agent will write the last three digits of the nine-digit number that appears on your license or non-driver ID card on your permit. Marking the permit with the last three digits aids law enforcement in identifying the actual permit holder and may help limit abuse. NOTE: IF YOU DO NOT HAVE A DRIVER LICENSE OR NON-DRIVER ID ISSUED BY NYS DMV, YOU ARE NOT REQUIRED TO OBTAIN ONE IN ORDER TO GET A PERMIT. NEW YORK CITY RESIDENTS - Send the application (MV-664.1) to the NYC Department of Transportation, 28-11 Queens Plaza North, 8th Floor, Long Island City, NY 11101-4008, or call (718) 433-3100. If you already have plates for persons with 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 ISA. Please read important information about "PARKING IN NEW YORK CITY" on page 2. NASSAU COUNTY RESIDENTS - Call (516) 227-7399 (the Nassau County Office of the Physically Challenged) to find out where to apply for a permit. ALL OTHER NEW YORK STATE RESIDENTS - Call your local city, town or village hall to find out where the nearest permit issuing agent is located. Most city, town or village clerks, and some police departments, issue permits. Although most agents accept the MV-664.1, some have their own application form, and not all agents issue permits for temporary disabilities. 2) If you are applying for license plates: (a) Your disability must be permanent. (b) The vehicle on which the special plates will be used must be registered to the person with the disability, whether or not that person drives. You must be at least 16 years old to have a vehicle registered in your name. (c) Fill out Part 1 of the application on page 3. Have a Medical Doctor, Doctor of Osteopathy, Physician Assistant, Nurse Practitioner, Doctor of Podiatric Medicine (for disabilities related to the foot) or Optometrist (for blindness) 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) OR if you have a permanent (blue) parking permit for the disabled. Permit holders should bring the permit with them and, also, fill 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 obtain the plates at any Motor Vehicles office. Bring the completed application with you. - If you are registering your vehicle for the first time, you must provide all of the items required for an original registration, including the proof of disability. - If you already have plates on your car, bring them with you to exchange them for plates for persons with severe disabilities. You will have to fill out a registration application (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 renewing a vehicle registration, an additional $3.75 transaction fee will be charged. - Personalized plates with up to six characters and the ISA are available from DMV's Custom Plates office. Call (518) 402-4838. MV-664.1 (8/12) PAGE 1 OF 4 American LegalNet, Inc. www.FormsWorkFlow.com USING LICENSE PLATES AND PARKING PERMITS u The plates and permits may be used to park in reserved parking spaces only when the person with the disability is driving or riding in the vehicle. People who are not disabled cannot use your parking permit and/or plates to park in a reserved space. Persons parking illegally in these spaces violate Section 1203-c(4) of the NYS Vehicle and Traffic Law and can be fined $50 to $75 for a first offense, and $75 to $150 for a second offense within two years. Municipalities can impose higher fines. Any person who abuses or misuses any parking permit or license plates for the disabled may have them revoked. Parking permits should be hung from the rear-view mirror when parked, but should be removed from the mirror when driving. Generally, the plates and permits are valid everywhere in New York State w
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