The VSD 001 form is a vital document used by the State of California to verify a veteran's status and any service-connected disabilities. It requires detailed information from the applicant and certification from an authorized County Veterans Service Office (CVSO) representative. To ensure your veteran benefits are properly recognized and to add a veteran designation to your driver's license or ID card, click the button below to fill out your VSD 001 form.
In the state of California, veterans seeking to verify their status and/or service-connected disability for the purpose of receiving driver license or identification card designations, or applying for disabled veteran license plates, must complete the VSD 001 form. This comprehensive document serves several purposes, ensuring veterans' access to benefits accorded to their service and sacrifice. The form features sections that must be filled out with precision, using blue or black ink, and includes a variety of information such as the applicant’s personal details, a certification of service and discharge status, and an authorization for the County Veterans Service Office (CVSO) to verify documents presented. With the applicant’s certification under penalty of perjury, this form acts as a crucial piece in verifying veteran status directly with the California Department of Motor Vehicles (DMV). Additionally, it outlines the specific criteria for obtaining disabled veteran license plates, detailing the qualifications related to service-induced disabilities. Successful submission and verification through this form enable the inclusion of a veteran designation on California driver licenses or ID cards, as well as the acquisition of disabled veteran license plates, subject to a verification process by authorized CVSO employees or officers. For its part, the DMV mandates a $5 fee for the veteran designation on cards, underscoring the procedural steps veterans must undertake to avail these recognitions and benefits. This form, pivotal for veterans within California, exemplifies the state’s efforts to honor and provide for its veterans through accessible, structured processes.
State of California
Veteran Status and Service-Connected Disability Verification
SECTION 1 - TO BE COMPLETED BY THE APPLICANT REQUESTING VETERAN STATUS AND/OR SERVICE CONNECTED DISABLITY VERIFICATION PRINT USING BLUE OR BLACK INK
FIRST NAME
MIDDLE NAME
LAST NAME
SUFFIX
DRIVER LICENSE OR IDENTIFICATION NUMBER
STATE OF ISSUANCE
DATE OF BIRTH (MM/DD/YYYY)
EMAIL ADDRESS
DAYTIME TELEPHONE NUMBER
MAILING ADDRESS
CITY
STATE
ZIP CODE
RESIDENCE ADDRESS IF DIFFERENT FROM MAILING ADDRESS ABOVE
SECTION 2 - APPLICANT CERTIFICATION
I certify (or declare) under penalty of perjury under the laws of the State of California, that I have served in the United States uniformed services and received an other than dishonorable discharge, or served in a Guard or Reserve component and was mobilized for federal active duty. The information I provided is true and correct. I authorize County Veterans Service Office (CVSO) employees, officers, and designees to verify the documents presented.
APPLICANT SIGNATURE
_
DATE
SECTION 3 - TO BE COMPLETED BY AUTHORIZED COUNTY VETERANS SERVICE OFFICE EMPLOYEE, OFFICER, OR DESIGNEE
COUNTY VETERANS SERVICE OFFICE ADDRESS
PHONE NUMBER
COUNTY
As a representative of the County Veterans Service Office of the above named county, and designee of the California Department of Veterans Affairs, I certify under penalty of perjury under the laws of the State of California, that I have reviewed the documentation required and that the above named individual meets the qualifications noted above.
COUNTY VETERANS SERVICE OFFICE REPRESENTATIVE'S SIGNATURE
COUNTY VETERANS SERVICE OFFICE REPRESENTATIVE'S PRINTED NAME
TITLE
This form must be submitted in person to the Department of Motor Vehicles along with an application for a driver license or identification card in compliance with California Vehicle Code § 12811 (c)(5) and all requirements must be met prior to the issuance of a driver license or identification card with a veteran designation on the face of the card. In addition to any other fee, a $5 fee must be paid for the veteran designation.
SECTION 4 -
DISABLED VETERAN CERTIFICATION FOR DISABLED VETERAN LICENSE PLATES
TO BE COMPLETED BY AUTHORIZED COUNTY VETERANS SERVICE OFFICE EMPLOYEE, OFFICER, OR
DESIGNEE
The above named applicant is a disabled veteran who, as a result of injury or disease suffered while on active service with the armed forces of the United States, suffers from one or more of the following disabilities:
•Has a disability which has been rated at 100% by the United States Department of Veterans Affairs, due to a diagnosed disease or disorder which substantially impairs or interferes with mobility.
•Is so severely disabled as to be unable to move without the aid of an assistant device.
•Has lost, or has lost use of, one or more limbs.
•Has suffered permanent blindness, as defined in Section 19153 of the Welfare and Institutions Code.
SECTION 5 - TO BE COMPLETED BY AUTHORIZED COUNTY VETERANS SERVICE OFFICE EMPLOYEE, OFFICER, OR DESIGNEE
As a representative of the County Veterans Service Office of the above named county, and designee of the California Department of Veterans Affairs, I certify under penalty of perjury under the laws of the State of California, that I have reviewed the documents
for the above named applicant that demonstrate that the applicant meets the qualifications noted above.
If this form is being submitted for an application for disabled veteran license plates only, this form and all other requirements, including acceptable proof of true full name and date of birth, may be submitted in person or by mail . For more information, please visit www.dmv.ca.gov.
FOR DMV USE ONLY
TECHNICIAN'S INITIALS/TECH ID #
DATELINE STAMP
APPLICANT'S DL/ID NUMBER
VSD-001 (Rev. 1/2021)
This form is not transferable
When pursuing veteran status or service-connected disability verification in California, individuals are required to complete the VSD 001 form accurately. This procedure is a crucial step in acknowledging their service and securing the benefits entitled to them. To ensure clarity and prevent any delays in processing, it’s essential to follow the provided guidelines meticulously.
Steps for Filling Out the VSD 001 Form
This document serves as a bridge for veterans to access certain recognitions and benefits. Once submitted, the Department of Motor Vehicles (DMV) and the County Veterans Service Office will review your application and accompanying documents to verify your veteran status or service-connected disability. This verification process is a vital step in honoring your service and ensuring you receive the benefits you deserve.
The VSD 001 form is a document issued by the State of California that is used to verify a veteran's status and/or service-connected disability for the purposes of obtaining a driver license or identification card with a veteran designation. It must be completed and submitted to the Department of Motor Vehicles (DMV) along with an application for a driver license or identification card.
Individuals who have served in the United States uniformed services and received an other than dishonorable discharge, or those who served in a Guard or Reserve component and were mobilized for federal active duty, are required to complete the VSD 001 form if they wish to have their veteran status and/or service-connected disabilities officially recognized on their California driver license or identification card.
To accurately complete the VSD 001 form, the following information is necessary:
To successfully submit the VSD 001 form, follow these steps:
Yes, in addition to any standard fees associated with obtaining or renewing a driver license or identification card, there is a $5 fee specifically for the veteran designation. This fee must be paid at the time of application at the DMV.
Yes, the VSD 001 form can also be submitted for the purpose of obtaining disabled veteran license plates. The form must include certification from an authorized County Veterans Service Office (CVSO) employee, officer, or designee that the applicant is a disabled veteran suffering from a qualifying disability as a result of service. This form, along with other required documents, can be submitted either in person or by mail.
For more detailed information regarding the VSD 001 form, the process for obtaining a veteran designation on your driver license or identification card, or for queries about disabled veteran license plates, please visit the California Department of Motor Vehicles (DMV) official website at www.dmv.ca.gov. Additionally, local County Veterans Service Offices (CVSOs) can provide assistance and information tailored to individual needs and circumstances.
When filling out the VSD 001 form for the State of California regarding Veteran Status and Service-Connected Disability Verification, applicants often make several common mistakes. These errors can delay the processing of their application or result in outright denial. Understanding and avoiding these pitfalls can streamline the process and ensure that applicants receive the benefits and recognitions they are entitled to.
It is important for all applicants to carefully review their applications before submission to ensure that all information is accurate, complete, and legible. Taking these precautions helps to avoid unnecessary delays and ensures a smoother process in obtaining veteran designations and benefits.
When submitting the VSD 001 form, used for veteran status and service-connected disability verification in the State of California, several other forms and documents might be needed to complete various applications or to ensure all benefits and designations are correctly applied for. Understanding these documents can help streamline the process and ensure nothing is overlooked.
Navigating through the process of acquiring veteran-related designations and benefits involves dealing with multiple forms and documents. Each plays a vital role in verifying eligibility and ensuring that veterans receive the recognitions and benefits they are entitled to. By having a clear understanding of what each form entails and when it is necessary, veterans can ensure a smoother, more efficient application process.
The VSD 001 form, used in the State of California for verification of veteran status and service-connected disabilities, shares similarities with other official forms designed to verify identity, eligibility, or status for specific benefits or services. Here is a list of 9 documents that resemble the VSD 001 form in their purpose or requirements:
Each of these documents serves vital roles in certifying aspects of a veteran's service or status, necessary for accessing various benefits or services. Though the context and specific benefits may vary, the underlying requirement for official verification of veteran status and related eligibility criteria remains a consistent theme throughout.
When filling out the VSD 001 form, the process requires careful attention to certain dos and don'ts to ensure accuracy and compliance with California state requirements. Here are some guidelines to follow:
Understanding the VSD-001 form, or the Veteran Status and Service-Connected Disability Verification form, is crucial for veterans in California looking to obtain benefits or specific designations. However, there are several misconceptions about this form that need to be clarified:
Correctly understanding and navigating the VSD-001 form is essential for veterans seeking to utilize their entitled benefits in California. Misinterpretations can lead to delays or even denials in receiving the proper designations and plates. Therefore, accurate knowledge and compliance with the instructions and requirements detailed in the VSD-001 form are paramount.
Applicants must use blue or black ink when filling out the VSD 001 form to ensure legibility and compliance with processing requirements.
It is necessary for applicants to provide comprehensive personal details, including driver license or identification number, state of issuance, and contact information.
The form includes a certification section where the applicant must declare their veteran status and/or service-connected disability under the penalty of perjury according to California law.
Verification of the information provided on the form is to be completed by an authorized County Veterans Service Office (CVSO) employee, officer, or designee.
The form serves multiple purposes, including applying for a driver license or ID card with a veteran designation, and for disabled veteran license plates.
For the veteran designation on a driver license or ID card, the applicant must submit the form in person to the Department of Motor Vehicles (DMV) alongside the relevant application and a $5 fee.
The form requires the authorized CVSO representative to certify that the applicant meets the criteria for a veteran designation or disabled veteran license plates, based on documented evidence of service and disability.
When applying specifically for disabled veteran license plates, documentation regarding the nature of the disability and eligibility must be reviewed and certified by the CVSO.
Detailed guidance on the submission process, including requirements for proving true full name and date of birth, is available on the California DMV website.
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