Individual – Online Parking Permit – New Application

Documentation supporting the applicant's medical condition is required and will need to be uploaded when submitting this application.

Please have your healthcare professional complete the Medical Information Form

The Medical Information Form can be completed by your Physician, Occupational Therapist, Physical Therapist, Nurse Practitioner or Chiropractor.

Application Type(Required)

New

Applicant Name(Required)

Name of the person for whom the permit is being assigned.

First Last

Mailing Address(Required)

Mailing Address City Postal Code

Applicant Phone (Daytime)(Required)

Applicant Email(Required)

Preferred Contact Method(Required)

Email

Phone

Date of Birth (Day / Month / Year)(Required)

Signature(Required)

Signed By:(Required)

Applicant

Power of Attorney

Parent/Guardian

Name of Person Submitting this Form:(Required)

Relationship to Applicant:(Required)

Phone(Required)

Medical Documentation

Documentation supporting the applicant's medical condition is required.

Please have your healthcare professional complete the Medical Information Form

The Medical Information Form can be completed by your Physician, Occupational Therapist, Physical Therapist, Nurse Practitioner or Chiropractor.

This field is hidden when viewing the form

OLD Please upload a completed Medical Information Form.

Max. file size: 250 MB.

Please upload a completed Medical Information Form.(Required)

Drop files here or

Max. file size: 250 MB.

Incomplete/illegible applications or those with insufficient medical documentation will be refunded during processing and a permit will not be assigned.

An email informing the applicant of the issue will be sent.

Applicants will then need to resubmit the complete application for processing.

Parking Permit Application Fee - Individual

Please click Submit only once to begin processing your payment.

Price:

Date

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Individual – Online Parking Permit – New Application

Accessible Parking Permit - Individual - New

Medical Documentation

Accessible Parking Program

Your support makes all the difference