Application for Persons with Disabilities Restricted Parking Zone

To be compliant with Hoboken’s City Ordinance B-417, granting Parking for Persons with Disabilities, you must submit the following documents and meet the following criteria:

Documents:

New Jersey Driver’s License indicating residency in Hoboken.
Disabled Person Identification Card.
Hang Tag/Placard.
New Jersey vehicle registration indicating person/persons with disabilities.

Criteria:

The term “driver with a disability” means any driver who has lost the use of one (1) or more limbs as a consequence of paralysis, amputation, or another permanent disability which severely limits ambulation.
You transport or are the parent or legal guardian of a developmentally disabled child or adult residing on a full-time basis within the same household.
You do not have a driveway, carport, garage, or off-street space available.
You must submit all medical information pertinent to your disability and a doctor’s statement attesting to your permanent disability.
You will have to submit a processing fee in the amount of $130.00 (made out to the Hoboken Parking Utility), if the application is denied, a refund will be issued within ten (10) business days of the final decision.
Upon your approval of a disabled-parking zone by the City Council, you must submit an annual (January-December) renewal along with a photocopy of your driver’s license, registration, placard, and a fee of $25.00.

*The following roads are under the jurisdiction of Hudson County and require County approval in addition to Hoboken City Council approval: 1st Street, 14th Street, Garden Street, Hudson Street, Newark Street, Observer Highway, Park Avenue, Paterson Avenue, and Willow Avenue.

If you should have any questions regarding the application process or just a general inquiry, please contact Dan Drobnis at (201) 420-2000 ex:8027 and/or email Dan at ddrobnis@hobokennj.gov.

*Please take note that the Subcommittee meets monthly (excluding July and August).

Acknowledgement of understanding of the Disabled Parking Application Checklist:

I have read and understand the above requirements to be considered for a disabled parking zone by the City of Hoboken.

Section 1- Personal Data

Applicant’s Name:

Date:

Address:

Address or Location

Primary phone number:

Phone Type:

Secondary phone number:

Phone Type:

Date of Birth:

Age

Person for whom the parking zone is requested

Specify Relationship to Applicant:

Age

Type of Disability:

Section 2- Driver and Vehicle Information

Driver License Number:

Please Upload the Driver's Vehicle Registration:

Click Here to Upload

Vehicle Make & Model:

Year:

Color:

Section 3- Your Attending Physician

Name:

Address:

Address or Location

Specialty:

Section 4- Medical History

Please upload the following information: Copy of a valid New Jersey Driver’s License indicating a Hoboken address, Copy of a valid Disabled Person Identification Card AND Placard, All medical information pertinent to your disability AND a doctor’s statement attesting to your permanent disability.

Copy of a valid New Jersey driver’s license indicating a Hoboken address:

Click Here to Upload

Copy of a valid Disabled Person Identification Card and Placard:

Click Here to Upload

All medical information pertinent to your disability and a doctor’s statement attesting to your permanent disability:

Click Here to Upload

Sign Here:

First Name

Last Name

Choose how to sign

Draw Type

I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.

*By electronically signing this application, I recognize I’m required to submit a refundable $130 fee made payable to the Hoboken Parking Utility for my application to be reviewed by the Parking for Persons with Disabilities Subcommittee. Applicants who do not meet all of the requirements of the above sections shall be notified by mail, of a denial of a restricted accessible parking zone. The fee of $130 will not be refunded until 10 days after the final decision is made.