Watervliet Police Department - Permanent Handicap Parking Renewal Form
You will be contacted when your new permanent permit is available.
Please bring your old permit with you when you come in to pick up your new one.
* Indicates Required Field
*First Name:
*Last Name:
Email:
Street Address:
City:
State:
Zip Code:
Phone Number:
Date of Birth:
License Number:
License Plate:
*Current Permit Number & Expiration Date:
Additional Notes:
