Please rate Nassau Parking Application 10-11
Children and non drivers can apply for a permit.
Name: all permits are issued in the name of the person with the disability, therefore all information on application must pertain to the disabled applicant.
Medical Certification: all questions must be answered and Medical Certification MUST be completed by a New York State Practicing Licensed Medical Doctor.
Signed: all applications must be signed not stamped.
Copies: copies or faxes of applications will result in immediate denial.
False statement: any false statement on the application by the applicant or by the doctor will result in refusal to issue a permit.
| Question | Answer |
|---|---|
| Form Name | Form HP4594 |
| Form Length | 2 pages |
| Fillable? | Yes |
| Fillable fields | 31 |
| Avg. time to fill out | 6 min |
| Edition | Rev 10/11 |
| Issuing agency | Nassau County Office for the Physically Challenged |
| Other names | HP4594, Form HP4594, Nassau County parking permit application, Nassau County accessible parking permit, State Accessible Parking Permit Application |
| Official source | Form HP4594 (Rev 10/11), Nassau County Office for the Physically Challenged |
Nassau Parking Application isn’t the one you’re looking for?
Please rate Nassau Parking Application 10-11
