DISABLED PARKING PERMIT
Instructions for Completion of Application
Read instructions and then print form.
Legibility and Completeness:
The Parking Permit Application form has three parts:
Part I To be completed by the applicant.
Part II To be completed and signed by the certifying physician.
Part III “For Official use only”.
It is the applicant’s responsibility to ensure that Parts I and II are complete and legible. Incomplete or illegible applications will be returned without approval.
You must provide your Driver’s License in order to receive a Parking Permit. If you do not have a Driver’s or Non-Driver’s license, contact the Town Clerk’s Office at 775-1966 for further information.
Filing of Application:
Completed applications may be brought to the Town Clerk’s Office at 70 Crescent Dr., Kirkwood, New York.
If you need additional information, please call 775-1966.
Handicapped Parking Permit