Is applicant a resident of the City of Linden?
First Name
Person Completing Application
Begin typing Address and select from the populated drop-down
Disabled Person Phone #
*Disabled Person Name
Phone #
*The following Information on this application must pertain to the above mentioned Disabled Person.
City Hall - 301 North Wood Avenue
{[CITY]}, {[STATE]} {[ZIP]}
(908) 474-8505
Disabled Person Address
Relationship to Applicant (If applicable)
Last Name
Applicant Information
  • Parking Space Criteria
  • Compliance Questionnaire
  • Certification

Criteria: In order for an application for an on-street Handicapped Parking space to be approved, the following conditions must be met:

  1. The applicant is a resident of the City of Linden and is permanently disabled, or will be disabled for a period of time exceeding 1 year, or resides with a Person who is permanently disabled or will be disabled for a period of time exceeding 1 year and the applicant is responsible for his or her transportation; and
  2. The applicant must be able to show that the disabled person's mobility is impaired to the extent that ambulation is severely restricted; and
  3. The requested location is on a public street; and
  4. The applicant resides at the address where the on-street Handicapped Parking space is requested; and
  5. The applicant supplies the vehicle's license plate number and/or handicapped placard number with expiration date for verification; and
  6. The applicant, or resident being cared for, has a currently valid Handicap Registration plate on their vehicle, or has been issued a currently valid Handicap Placard; and
  7. The applicant must be able to demonstrate that off-street parking is inaccessible; and
  8. The requested on-street Handicapped Parking space must be installed in front of the property of the applicant's property, unless deemed unfeasible by the City, and then such space should be placed as near to the requested property as possible; and
  9. The requested parking space does not conflict with any parking restriction already in place and the parking width on front of the residence is at least 22 feet; and
  10. The applicant agrees to advise the City of Linden Police Department when the Handicapped space is no longer required.

** Please Note: Applicants will not be approved for a handicap parking space if there is a garage or driveway, regardless if the garage is rented out or filled with storage, and/or if the driveway is occupied by family cars. **

On-Street Handicapped Parking Space Criteria
Are there any types of Parking Restrictions on your street?
If yes, state the License Plate #
If yes, please describe:
If yes, state the Placard #
Please list any vehicles registered at this residence:
Explain why you are in need of a Handicapped Parking Space in front of your house:
Compliance Questionnaire
If yes, please identify what type of off-street parking you have, and explain why you believe that available off-street parking is unusable:
If the vehicle is not registered to the Handicapped Person, why is a Handicapped Parking Space being requested? (Please be specific)
Is the applicant:
If no, does the disabled person have a Handicapped Placard?
Does the disabled person have a NJ State Handicapped License Plate?
Do you have a garage or other off street parking available?
Type Full Name :
Sign With Hand
Please attach a physician's Certification of Disability to this application.
Applicant Signature
  • I am aware that it is my responsibility to file a complete application. I understand that the application will be returned to me if it is found to be incomplete, illegible, or otherwise not filed in compliance with the instructions.

  • I understand that if I use this Handicapped Parking Space in any manner other than that which I described at the time of this application, the space will be removed. In addition, I agree that the City of Linden retains the right to remove this Handicapped Parking Space at any time.

  • I further understand that it is my responsibility to promptly notify the City of Linden should I no longer need the Handicapped Parking Space.
    I acknowledge that, should my request for a Handicapped Parking Space be denied, that I may appeal the decision to deny my request to the Council of the City of Linden. I understand that this appeal must be in writing and submitted within 30 days from my receipt of notice of denial.

  • I certify that the information contained herein is true and correct to the best of my knowledge and belief. I understand that any false statements made herein are subject to the penalties of 2C:21- 4 of the New Jersey Criminal Code, relating to making a false statement or providing misinformation on an application.
  • Certification