Town of West Seneca    Displays Town of West Seneca name
INCORPORATED 1851

"Proud Past -
Unlimited Future"

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1250 Union Road
West Seneca
New York 14224
U.S.A.

(716) 674-5600
fax:
(716) 677-4330




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Picture of Handicapped Parking Permit
    INSTRUCTIONS FOR COMPLETION OF DISABLED PARKING PERMIT 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.

    Verification of Information:

    All information provided on the application is subject to verification by the Town Clerk's office. False statements shall result in prosecution to the full extent of the law.



    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 Clerks Office at 558-3215 for further information


    Filing of Application:

    Completed applications may be brought to the Town Clerk's Office, Room 212 or mailed to:

    Patricia C DePasquale, CMC
    TOWN OF WEST SENECA
    1250 Union Road
    West Seneca, New York 14224


    Be assured that we will process your application as promptly as possible. Thank you for allowing this office to be of assistance

    If you need more information, you may call: 558-3215



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