The VSD 001 form is a crucial document used in California for verifying veteran status and service-connected disabilities. This form must be completed by applicants seeking a veteran designation on their driver license or identification card, ensuring that all necessary information is accurately provided. Timely submission of this form is essential for veterans to access their benefits; click the button below to fill it out now.
The VSD 001 form is used in California to verify a person's veteran status and service-connected disability. It is essential for individuals who wish to obtain a veteran designation on their driver license or identification card. The form must be completed by the applicant and certified by an authorized representative from the County Veterans Service Office.
This form must be completed by any veteran seeking verification of their military service and disability status. To qualify, the applicant must have served in the United States uniformed services and received an other than dishonorable discharge, or served in a Guard or Reserve component that was mobilized for federal active duty.
The completed VSD 001 form must be submitted in person to the Department of Motor Vehicles (DMV) along with an application for a driver license or identification card. It is important to note that the submission must comply with California Vehicle Code § 12811 (c)(5). Additionally, a $5 fee is required for the veteran designation.
If you are applying solely for disabled veteran license plates, the VSD 001 form can be submitted either in person or by mail. Along with this form, you must provide acceptable proof of your full name and date of birth. For more detailed information regarding the process, you may visit the DMV's official website at www.dmv.ca.gov.
The VSD 001 form is essential for verifying veteran status and service-connected disabilities in California. When applying for benefits or designations, several other documents may accompany this form. Below is a list of commonly used forms and documents that may be required in conjunction with the VSD 001.
Gathering these documents can streamline the application process and ensure that all necessary information is provided. Each document plays a significant role in verifying eligibility for benefits and services available to veterans.
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
Filling out the VSD 001 form can seem straightforward, but many individuals make common mistakes that can delay their application process. One prevalent error is using the wrong ink color. The instructions clearly state to print using blue or black ink. Using any other color can lead to rejection of the form, as it does not meet the specified requirements.
Another frequent mistake is failing to provide complete information. Each section of the form requires specific details, including the applicant's full name, date of birth, and contact information. Omitting any of these crucial details can result in processing delays. Always double-check that every field is filled out accurately.
Applicants often overlook the importance of the signature. In Section 2, the applicant must certify their service and provide a signature. Skipping this step or forgetting to date the signature can cause the form to be deemed incomplete. Remember, your signature is a declaration of the truthfulness of the information provided.
Additionally, some people mistakenly submit the form without the necessary supporting documents. The VSD 001 form requires verification of military service and discharge status. Ensure that you attach all required documentation, such as a copy of your discharge papers, to avoid any complications.
Another common oversight involves the mailing address. If your residence address differs from your mailing address, it is vital to indicate this clearly. Failing to do so can lead to confusion and miscommunication, especially when the County Veterans Service Office needs to reach you.
Many applicants also forget to check the fee requirements. A $5 fee is necessary for the veteran designation. Not including this payment can result in the rejection of your application. Make sure to include the correct payment method as instructed.
Some individuals might neglect to verify their eligibility before filling out the form. It is essential to understand whether you qualify for veteran status or service-connected disability verification. Familiarizing yourself with the eligibility criteria can save time and effort in the long run.
Moreover, applicants sometimes submit the form without reviewing it for errors. Taking a moment to proofread can catch simple mistakes that might otherwise lead to complications. A careful review can ensure that the information provided is accurate and complete.
Finally, it’s important to remember that the form must be submitted in person to the Department of Motor Vehicles along with an application for a driver license or identification card. Some applicants mistakenly think they can mail the form. Adhering to this requirement is crucial for a successful application.
DD Form 214: This document serves as a record of military service and is often required for veterans seeking benefits. Like the VSD 001 form, it verifies service and discharge status.
VA Form 21-526EZ: This form is used to apply for disability compensation. It requires similar personal information and serves to establish eligibility for benefits, paralleling the verification process of the VSD 001.
VA Form 21-4138: Known as a Statement in Support of Claim, this form allows veterans to provide additional evidence for claims. It shares the purpose of supporting a veteran's status, akin to the VSD 001 form.
California Disabled Veteran License Plate Application: This application is specifically for obtaining license plates for disabled veterans. It requires documentation of veteran status and disability, similar to the requirements of the VSD 001.
VA Form 10-10EZ: This is the application for health benefits from the VA. Like the VSD 001, it collects personal information and establishes eligibility for services.
VA Form 21-534EZ: This form is used by surviving spouses and dependents to apply for benefits. It requires verification of service, similar to the VSD 001's verification of veteran status.
California Veteran's Benefits Application: This application is for various state benefits available to veterans. It requires similar documentation and personal information as the VSD 001 form.
VA Form 21-22: This form designates an accredited representative to assist with claims. It also requires proof of veteran status, much like the VSD 001's verification process.
California Veteran Status Verification Form: This form is specifically for verifying veteran status in California. It shares the same purpose as the VSD 001 and requires similar information.
VA Form 21-0966: This is a pre-application for disability compensation. It serves to initiate the process of verifying veteran status and eligibility, akin to the VSD 001.
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