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The VSD 001 form is an essential document for veterans in the State of California, facilitating the verification of their status and any service-connected disabilities. This comprehensive form is divided into several sections, each serving a specific purpose to ensure that veterans receive the recognition and benefits they are entitled to. The first section requires detailed personal information from the applicant, insisting on accuracy by the use of blue or black ink. In this section, veterans are expected to declare their service and discharge status honestly, under penalty of perjury according to California law. Authorization for the County Veterans Service Office (CVSO) to verify the provided documents is also a requisite part of the application process. The form progresses to involve the CVSO directly, where an authorized representative must verify and certify the veteran's qualifications. Crucially, the form connects with the Department of Motor Vehicles, requiring personal submission alongside an application for a driver license or identification card. This ensures that a veteran designation can be appropriately added, subject to a nominal fee and fulfillment of specific criteria. For veterans with disabilities, the form outlines distinct qualifications for obtaining disabled veteran license plates, recognizing a range of significant impairments including mobility issues, limb loss, and blindness. Furthermore, the form outlines submission processes and links to additional resources, demonstrating a thorough and supportive administrative approach to recognizing and aiding veterans and their specific needs.

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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

CITY

STATE

ZIP CODE

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

CITY

STATE

ZIP CODE

PHONE NUMBER

COUNTY

EMAIL ADDRESS

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

DATE

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

COUNTY VETERANS SERVICE OFFICE ADDRESS

CITY

STATE

ZIP CODE

PHONE NUMBER

COUNTY

EMAIL ADDRESS

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.

COUNTY VETERANS SERVICE OFFICE REPRESENTATIVE'S SIGNATURE

DATE

COUNTY VETERANS SERVICE OFFICE REPRESENTATIVE'S PRINTED NAME

TITLE

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
⇩ PDF Form

File Attributes

Fact Number Fact Detail
1 Form used in California for verifying veteran status and service-connected disability.
2 Applicants must complete Section 1 using blue or black ink.
3 Applicants declare their service information under penalty of perjury under California law.
4 Authorized County Veterans Service Office (CVSO) employees can verify the provided documents.
5 The form must be submitted in person at the Department of Motor Vehicles (DMV) with other required documents.
6 A $5 fee is required for the veteran designation on a driver license or identification card.
7 Section 4 is for disabled veteran certification for disabled veteran license plates.
8 Eligibility for disabled veteran license plates is based on specific disabilities or impairments.
9 Form VSD-001 is governed by the California Vehicle Code § 12811 (c)(5).
10 This form is not transferable and was last revised in January 2021.

How to Fill Out Vsd 001

Filling out the VSD 001 form is a crucial step for veterans in the State of California seeking to verify their veteran status and/or service-connected disability. This verification process is essential for accessing specific benefits, such as the veteran designation on a driver license or identification card and eligibility for disabled veteran license plates. The form requires precise information from the applicant and certification by authorized personnel from the County Veterans Service Office. Below is a step-by-step guide to ensuring that you correctly complete the form, whether for veteran status verification, service-connected disability, or both.

  1. Begin in Section 1, which is to be completed by the veteran applying for status and/or service-connected disability verification. Use blue or black ink exclusively.
  2. Provide your first name, middle name, last name, and suffix if applicable.
  3. Enter your driver license or identification number along with the state of issuance.
  4. Fill in your date of birth using the MM/DD/YYYY format.
  5. Include a current email address and a daytime telephone number where you can be reached.
  6. For mailing purposes, provide your full mailing address including city, state, and zip code.
  7. If your residence address differs from your mailing address, provide the details in the space given.
  8. Next, move to Section 2 for the Applicant Certification. Read the certification statement carefully, acknowledging that by signing, you declare all information provided as true under penalty of perjury.
  9. Sign your name and date the document in the spaces provided under Section 2.
  10. Section 3, 4, and 5 are to be completed by an authorized County Veterans Service Office employee, officer, or designee. You do not fill these sections.
  11. Once all relevant sections are completed by you and later by the authorized official, the form must be submitted in person to the Department of Motor Vehicles (DMV) along with an application for a driver license or identification card. Remember to bring an acceptable form of payment for the $5 veteran designation fee.

It's important to ensure every piece of information you provide on the VSD 001 form is accurate and up-to-date to avoid any delays or issues in the verification process. Upon submission, DMV staff will validate the form along with any other required documents to process your application. Be prepared to present additional documentation if requested, to confirm your veteran status or service-connected disability claims.

Frequently Asked Questions

What is the VSD 001 form used for?

The VSD 001 form is a critical document in the State of California used for verifying a person's veteran status and/or service-connected disability. It serves a dual purpose: firstly, to validate a veteran's status for a driver license or identification card with a veteran designation, and secondly, to certify eligibility for disabled veteran license plates. This form must be directly submitted to the Department of Motor Vehicles (DMV) alongside an applicable application, strictly adhering to the California Vehicle Code § 12811 (c)(5).

How do you complete the VSD 001 form?

Completing the VSD 001 form involves a few detailed steps, broken down as follows:

  1. Fill out Section 1 with your personal information, using blue or black ink. Include your name, driver license or identification number, contact details, and addresses.
  2. In Section 2, sign the applicant certification that confirms your service and eligibility under penalty of perjury.
  3. Section 3 and Section 4 (if applying for disabled veteran license plates) must be completed by an authorized County Veterans Service Office (CVSO) employee.
  4. Submit the completed form in person at the DMV along with your application for a driver license or identification card, and, if applicable, apply for disabled veteran license plates.

It's important to ensure all information is accurate and that the CVSO endorsement is obtained prior to submission to the DMV.

What are the qualifications for a veteran designation on my driver license or ID card?

To qualify for a veteran designation on your California driver license or ID card, you must have served in the United States uniformed services and received an other than dishonorable discharge, or served in a Guard or Reserve component and been mobilized for federal active duty. Verification through the VSD 001 form, endorsed by a CVSO representative, is required to attest to your service and eligibility.

What fees are associated with the veteran designation or disabled veteran license plates?

There is a nominal $5 fee required for adding a veteran designation to your driver license or identification card. This fee is in addition to any other fees applicable to the issuance or renewal of the card. For disabled veteran license plates, additional information regarding fees and requirements can be obtained directly from the DMV or the respective County Veterans Service Office.

Can the VSD 001 form be submitted electronically?

No, the VSD 001 form must be submitted in person to the Department of Motor Vehicles alongside the applicable application for a driver license or identification card. However, if applying for disabled veteran license plates only, the form and associated documentation may be submitted by mail. For the most accurate and updated submission guidelines, visiting the official DMV website or consulting with a CVSO representative is recommended.

Where can I get assistance in completing the VSD 001 form?

Assistance in completing the VSD 001 form can be obtained from a County Veterans Service Office (CVSO). CVSO representatives are authorized and equipped to help veterans in verifying their service and disability status, ensuring proper completion and submission of the form. For additional support and resources, veterans may also visit the California Department of Veterans Affairs or the DMV website.

Common mistakes

Filling out the VSD 001 form, a critical document for veterans in the State of California seeking to verify their status and/or service-connected disabilities, requires careful attention to detail. One common mistake is not using blue or black ink as specifically instructed. This might seem minor, but failure to comply can result in the need to resubmit the form, causing delays in receiving benefits or recognition.

Another area where errors frequently occur is in the personal information section. Applicants often overlook the importance of ensuring that the driver license or identification number matches exactly with the document they are presenting. Any discrepancy between the number on the form and the identification can lead to processing delays or outright rejection of the application. Accuracy in these details is paramount.

Underestimating the certification section is also a mistake. When applicants casually approach the certification that they have served and received an other than dishonorable discharge, without understanding its legal weight, they risk inaccuracies that could affect their eligibility. This certification requires a conscientious review to guarantee that all provided information is true and correct to the best of the applicant's knowledge.

A significant oversight occurs when applicants forget to authorize the verification of their documents by failing to sign the form. The authorization allows County Veterans Service Office (CVSO) employees, officers, and designees to verify the documents presented. Without this signature, the CVSO cannot proceed with the verification process, stalling the applicant's request.

Lastly, not submitting the form in person along with the application for a driver license or identification card, as required, is a critical misstep. This requirement ensures that the application is complete and meets all criteria before the issuance of a driver license or identification card with a veteran designation. Ignoring this step can result in unnecessary setbacks for veterans eager to obtain their deserved recognitions and benefits.

Documents used along the form

When applying for veteran status or service-connected disability verification through the VSD 001 form, applicants may find they need to provide additional documentation to facilitate their request. Such documents are vital for verifying the status, background, and qualifications of the applicant. Below is a list of documents that are frequently used in conjunction with the VSD 001 form to ensure a smooth and efficient processing of the application.

  • DD Form 214 - Certificate of Release or Discharge from Active Duty: This document is crucial as it provides a comprehensive overview of a person’s military service, including the nature of discharge which is essential for veteran status verification.
  • Service Medical Records - These records can help in verifying disabilities or injuries sustained during service, pertinent to the disabled veteran certification for license plates.
  • VA Disability Rating Decision Letter - Issued by the Department of Veterans Affairs, this letter provides official confirmation of the disability rating, which is significant for applications involving disability claims.
  • Proof of Identity - A government-issued photo ID or a birth certificate is often required to establish the identity of the applicant.
  • Proof of Residency - Documents such as utility bills or lease agreements may be needed to prove residency within the state or county.
  • Vehicle Registration Forms - For those applying for Disabled Veteran License Plates, current vehicle registration documents are necessary.
  • Application for Disabled Person Parking Placard or Plates (DMV Form REG 195) - If the applicant is seeking parking privileges, this form is required alongside the VSD 001 for disabled veteran license plates.
  • Proof of True Full Name and Date of Birth - To accompany an application, documents like a passport or driver’s license may be needed to verify the applicant's full name and date of birth accurately.
  • Payment Receipts of Applicable Fees - Including the $5 fee for the veteran designation on a driver license or ID card, records of payment are sometimes requested for file completeness.
  • Letter from the County Veterans Service Office - An official letter stating the applicant’s eligibility based on their documents and the CVSO’s assessment can be beneficial for verifying qualifications for certain benefits or designations.

Compiling the right documents is a crucial step in utilizing the VSD 001 form effectively. Each document serves a purpose in establishing eligibility, verifying identity, or providing proof of qualification for the benefits sought. Applicants are advised to check with their local County Veterans Service Office or the Department of Motor Vehicles for specific requirements and guidance to ensure their application process is comprehensive and complete.

Similar forms

The VSD 001 form shares similarities with the DD Form 214, otherwise known as the Certificate of Release or Discharge from Active Duty. Both documents are crucial for veterans seeking recognition of their service and benefits entitlement. The DD Form 214 is often required to apply for veteran benefits, similar to how the VSD 001 form is necessary for verifying a veteran's status and disability for specific state benefits. They serve as official records that confirm a veteran's service in the U.S. armed forces, their discharge status, and eligibility for benefits, making both documents essential for transitioning service members.

Another document akin to the VSD 001 form is the Disabled Veteran License Plate Application used in various states. This application, like the VSD 001, requires certification of a veteran's disability status, often necessitating a rating from the Department of Veterans Affairs. Both forms are designed to recognize and provide specific privileges to veterans with disabilities, such as specialized license plates that indicate their veteran status and, in many cases, exempt them from certain fees or provide them with preferential parking spots.

The Application for Veterans' Preference is also similar to the VSD 001 form. This application is used by veterans seeking preference in government job placements. Like the VSD 001 form, it requires veterans to provide proof of their service and, if applicable, their disability status to obtain a benefit—in this case, a potential edge in job competition. Both forms acknowledge the sacrifices made by servicemembers and aim to provide tangible benefits as a form of recognition and compensation for their service.

Lastly, the VA Form 10-10EZ, used for enrolling in the VA health care system, parallels the VSD 001 form in its purpose to verify a veteran's service and, when relevant, their disability status. The VA Form 10-10EZ is integral for veterans seeking access to the healthcare benefits earned through their service, similar to how the VSD 001 form is used to access state-specific benefits like veteran designation on licenses and disabled veteran license plates. Both forms act as bridges for veterans to access services and recognitions afforded to them due to their military service.

Dos and Don'ts

When filling out the VSD 001 form, a document required for verifying veteran status and/or service-connected disability in the State of California, there are several key practices to follow to ensure that the process goes smoothly and your application is processed without unnecessary delays. Here are things you should and shouldn't do:

  • Do use blue or black ink: This ensures that the information is legible and can be processed accurately by the Department of Motor Vehicles (DMV) and the County Veterans Service Office (CVSO).
  • Don't leave any required fields blank: Complete every section that applies to you to avoid any processing delays. If a section does not apply, consider marking it with N/A (not applicable).
  • Do print legibly: The clearer your handwriting, the easier it is for officials to review and process your form without errors or the need for clarification.
  • Don't provide false information: Falsifying information, especially under penalty of perjury, can result in legal consequences. Ensure all data you provide is accurate and truthful.
  • Do check your eligibility: Before filling out the form, make sure you meet the requirements for veteran status and/or service-connected disability verification as outlined by California law.
  • Don't forget to sign and date the applicant certification: Your signature is required to authenticate the form and the information provided. Omitting your signature will result in the rejection of your application.
  • Do provide supporting documentation: Attach all necessary documents that verify your veteran status and/or disability. This could include DD214 forms, medical records, or other official documents.
  • Don't mail or submit the form without confirming all requirements are met: Review the form and accompanying documents to ensure compliance with all listed requirements. Submitting the form in person, as required, along with a review of the guidelines on the DMV website, helps avoid unnecessary complications.

Following these dos and don'ts can help streamline the application process for obtaining a veteran designation on your driver license or identification card in California, as well as applying for disabled veteran license plates, where applicable.

Misconceptions

There are several common misconceptions about the VSD 001 form, which is imperative for veterans in California seeking certain benefits and recognitions from the Department of Motor Vehicles (DMV). Below are five such misconceptions and the truths behind them:

  1. It's only for disabled veterans: While part of the form is dedicated to disabled veteran certification for specialized license plates, the VSD 001 form also plays a crucial role for all veterans looking to have their status verified for a veteran designation on their driver's license or ID card. It's not limited to those with disabilities.

  2. Online submission is an option: The VSD 001 form needs to be submitted in person or by mail when applying for disabled veteran license plates. This is a common mistake, as many believe that online submission is possible due to the convenience of digital transactions in other areas. This procedure ensures the authenticity and verification of documents are handled correctly.

  3. No fee is involved: Actually, there is a $5 fee required for the veteran designation on a driver's license or identification card. This fee is in addition to any other DMV fees that may apply when obtaining or renewing a license or ID card.

  4. The form is complex and requires legal assistance: While it's detailed, the VSD 001 form is designed to be straightforward. By carefully reading the instructions and completing each section accurately, most veterans can fill out the form without the need for legal assistance. However, seeking help from a County Veterans Service Office is advisable for those who need support.

  5. Any discharge status is acceptable: The form stipulates that the veteran should have received an other than dishonorable discharge to qualify for the benefits. This requirement narrows the eligibility, contrary to the belief that any discharge status would suffice for the application process.

Understanding these facets of the VSD 001 form helps in demystifying the process, making it more accessible for veterans seeking to avail themselves of the benefits rightfully due to them.

Key takeaways

When seeking to utilize the VSD 001 form, here are five key takeaways to ensure accuracy and compliance in the process:

  • The form mandates the use of blue or black ink for filling out your information. This requirement ensures legibility and uniformity in the documentation process.
  • Applicants are required to certify their service under penalty of perjury, highlighting the importance of providing truthful and accurate information regarding one's veteran status and/or service-connected disability.
  • Verification of the submitted information will be conducted by authorized personnel from the County Veterans Service Office (CVSO). This step underscores the involvement of official channels in confirming an applicant's eligibility for the benefits being applied for.
  • The form is necessary for veterans wishing to have a veteran designation on their California driver license or identification card, marking a significant benefit that acknowledges their service.
  • A $5 fee is required for the veteran designation on a driver license or identification card, in addition to any other applicable fees. This cost is a vital aspect of the process applicants need to be prepared for.

Understanding these crucial points can simplify the process of applying for veteran-related benefits and recognitions, ensuring that those who served can access the acknowledgments and services they are entitled to with ease.

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