Disability Permit Applications

All disability applications must be filled out by the applicant and his/her doctor, and submitted to the Traffic Division with proof of City of Long Beach residency (Driver’s License, utility bill, etc.). Please ensure that the doctor has stamped the application after filling out the diagnosis. The doctor’s diagnosis will be verified by the Traffic Division.

Applications can be printed by clicking on the link below.

You can submit your application, along with a copy of your drivers license, in one of the following three ways:

  1. Email to [email protected]
  2. Mail to the address noted below:
    Long Beach Police Department
    Attn: Traffic Division
    1 W Chester Street
    Long Beach, NY 11561
  3. Drop off to Traffic Division window at police

Please allow up to one week for processing. All applicants will be notified by phone when their permit is ready to be picked up.