The VSD 001 form is a document used in the State of California for verifying veteran status and service-connected disabilities. It serves as a crucial step for veterans seeking benefits or designations, such as a veteran identification card. Completing this form accurately is essential for ensuring that veterans receive the recognition and support they deserve.
The VSD 001 form serves as a critical document for veterans in California seeking to verify their status and service-connected disabilities. This form is essential for individuals who wish to obtain a veteran designation on their driver's license or identification card, as well as for those applying for disabled veteran license plates. The application process begins with the applicant providing personal information such as their name, date of birth, and contact details. Additionally, the applicant must certify their military service, confirming that they have received an honorable discharge or have been mobilized for federal active duty. This certification is crucial, as it establishes the applicant's eligibility for the benefits associated with veteran status. Authorized representatives from the County Veterans Service Office play a key role in this process, as they must review and verify the documentation submitted by the applicant. This verification ensures that the applicant meets the necessary qualifications outlined in the form. Furthermore, for those seeking disabled veteran license plates, specific criteria regarding disabilities must be met, and this section of the form requires additional certification from the County Veterans Service Office. The completion and submission of the VSD 001 form is not merely a bureaucratic step; it is a gateway for veterans to access the benefits and recognition they have earned through their service.
When filling out the Vsd 001 form, there are several important dos and don'ts to keep in mind. Following these guidelines can help ensure a smooth application process.
When filling out and using the VSD 001 form for veteran status and service-connected disability verification in California, consider the following key takeaways:
File a Claim Verizon - Assists in organizing service-related information.
Florida Realtors Lease Agreement Pdf - The escrow agent facilitates the handling of funds and property in escrow, detailing their duties and limitations.
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
Understanding the VSD 001 form can be challenging. Here are nine common misconceptions about this form, along with clarifications.
The VSD 001 form serves a specific purpose in verifying veteran status and service-connected disabilities in California. Several other documents share similarities with the VSD 001 form, primarily in their intent to validate eligibility for benefits or services. Below is a list of eight documents that are similar to the VSD 001 form:
Each of these documents plays a crucial role in ensuring that veterans receive the benefits they deserve, relying on a verification process that is consistent with the goals of the VSD 001 form.