Content Overview
The VSD 001 form is an essential document for veterans in California seeking to verify their military service and disability status. This form serves multiple purposes, including the request for veteran status and the verification of service-connected disabilities. It consists of several sections, starting with the applicant's personal information, such as name, date of birth, and contact details. The applicant must certify their service in the United States uniformed services and provide proof of an honorable discharge. Additionally, the form requires a County Veterans Service Office representative to verify the applicant's information, ensuring that all necessary documentation is reviewed. If approved, this form is crucial for obtaining a driver’s license or identification card that features a veteran designation. Furthermore, veterans with disabilities may also use this form to apply for specialized license plates, making it a vital resource for those who have served and need recognition of their sacrifices. Understanding the VSD 001 form and its requirements can significantly ease the process for veterans seeking the benefits they deserve.
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State of California
Veteran Status and
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
This form is not transferable |
Form Specifications
| Fact Name | Details |
|---|---|
| Purpose | The VSD 001 form is used to verify veteran status and service-connected disabilities in California. |
| Governing Law | California Vehicle Code § 12811 (c)(5) outlines the requirements for submitting this form. |
| Submission Method | This form must be submitted in person to the Department of Motor Vehicles along with a driver license or identification card application. |
| Disabled Veteran Certification | It includes provisions for disabled veterans seeking license plates, detailing specific qualifying disabilities. |
Vsd 001: Usage Guidelines
Filling out the VSD 001 form requires careful attention to detail to ensure all necessary information is provided accurately. Once completed, 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, or it can be submitted by mail for disabled veteran license plates. A fee may apply for the veteran designation.
- Begin by printing the form using blue or black ink.
- In Section 1, fill out your first name, middle name, last name, and suffix as applicable.
- Provide your driver license or identification number and the state of issuance.
- Enter your date of birth in the format MM/DD/YYYY.
- Fill in your email address and daytime telephone number.
- Complete your mailing address, including city, state, and ZIP code.
- If your residence address is different from your mailing address, provide that information as well, including city, state, and ZIP code.
- In Section 2, read the certification statement carefully. Sign and date the form to certify that the information provided is true and correct.
- Section 3 must be completed by an authorized County Veterans Service Office employee. They will fill in their office address, phone number, and email address.
- The representative must sign and date this section, certifying that you meet the qualifications for veteran status.
- If applying for disabled veteran license plates, Section 4 must also be completed by an authorized representative, confirming your disability status.
- Ensure that Section 5 is filled out by the representative, certifying that all documentation has been reviewed.
- Review the completed form for accuracy and completeness.
- Submit the form in person to the DMV along with your application for a driver license or identification card, or send it by mail if applying for disabled veteran license plates.
Your Questions, Answered
What is the VSD 001 form?
The VSD 001 form is a document used in California for verifying a person's veteran status and service-connected disability. It is essential for individuals seeking 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 form requires personal information, certification of military service, and verification by a County Veterans Service Office representative.
Who needs to complete the VSD 001 form?
Any individual who has served in the United States uniformed services and received an other than dishonorable discharge must complete this form if they wish to obtain veteran status or service-connected disability verification. This includes veterans, members of the Guard or Reserve components who have been mobilized for federal active duty, and disabled veterans seeking special license plates.
What information is required on the VSD 001 form?
The form requires the applicant to provide personal details such as their first name, middle name, last name, date of birth, driver's license or identification number, and contact information. Additionally, the applicant must certify their military service and may need to provide documentation to support their claims of service-connected disabilities.
How is the VSD 001 form submitted?
The completed VSD 001 form must be submitted in person to the Department of Motor Vehicles (DMV) along with an application for a driver’s license or identification card. It is important to ensure that all requirements are met before submission to avoid delays in processing. For those applying for disabled veteran license plates, the form can be submitted either in person or by mail.
What is the cost associated with the VSD 001 form?
In addition to any other fees related to the application for a driver’s license or identification card, a $5 fee must be paid specifically for the veteran designation. This fee is required to process the application and issue the designated identification.
What if I am a disabled veteran?
Disabled veterans must have their status verified by an authorized representative from the County Veterans Service Office. The form includes a section specifically for this verification, which confirms that the applicant has a disability rated at 100% by the U.S. Department of Veterans Affairs or meets other specified criteria. This verification is crucial for obtaining disabled veteran license plates.
Can the VSD 001 form be transferred to another person?
No, the VSD 001 form is not transferable. Each individual must complete their own form to verify their veteran status or disability. This ensures that the information is accurate and specific to the individual applying for benefits or designations.
Common mistakes
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Using the wrong ink color: Applicants must fill out the VSD 001 form using blue or black ink. Using any other color can lead to rejection.
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Incomplete personal information: Ensure that all required fields, such as first name, last name, and date of birth, are filled out completely. Missing information can delay the processing of your request.
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Incorrect signature: The applicant's signature is required in Section 2. Failing to sign or providing a signature that does not match the name on the form can cause issues.
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Not submitting in person when required: For certain applications, the form must be submitted in person to the Department of Motor Vehicles. Ignoring this requirement may lead to delays.
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Overlooking additional fees: Applicants must pay a $5 fee for the veteran designation. Not including this payment can result in the application being incomplete.
Documents used along the form
The VSD 001 form is an essential document for veterans seeking verification of their status and service-connected disabilities in California. Alongside this form, several other documents may be required or beneficial for various purposes related to veteran services. Below is a list of commonly used forms and documents.
- DD Form 214: This form serves as the Certificate of Release or Discharge from Active Duty. It provides proof of military service and is often required for benefits and services.
- VA Form 21-526EZ: This application is used to apply for disability compensation from the Department of Veterans Affairs. It helps veterans receive benefits for service-related injuries or conditions.
- California DMV Application for Disabled Person Parking Placard (REG 195): This application allows disabled veterans to request a parking placard for accessible parking. It requires proof of disability.
- VA Form 21-4138: Known as the Statement in Support of Claim, this form is used to provide additional information to support a claim for VA benefits.
- VA Form 10-10EZ: This is the application for health benefits from the VA. Veterans must complete this form to access medical care and services.
- California Veteran Status Verification Form: This form is used to verify a veteran's status for various benefits and programs available in California.
- VA Form 21-534EZ: This application is for surviving spouses and children to apply for Dependency and Indemnity Compensation (DIC) and other benefits.
- California Department of Veterans Affairs Benefits Application: This application is used to access state-specific benefits available to veterans and their families.
Understanding these forms can streamline the process of obtaining the necessary benefits and services. It is crucial to have the correct documentation ready to ensure a smooth experience when dealing with veteran services.
Similar forms
- VA Form 21-526EZ: This form is used to apply for disability compensation from the Department of Veterans Affairs. Like the VSD 001 form, it requires personal information and a certification of military service.
- DD Form 214: This document serves as a record of military service. It verifies the duration and character of service, similar to how the VSD 001 verifies veteran status.
- VA Form 21-4138: Known as the Statement in Support of Claim, this form allows veterans to provide additional information regarding their claims. It parallels the VSD 001 in its purpose of supporting veteran status verification.
- California DMV Form REG 256: This form is used for vehicle registration and requires proof of veteran status for certain benefits, much like the VSD 001 is used to establish veteran status for a driver license.
- VA Form 21-534EZ: This form is for applying for Dependency and Indemnity Compensation (DIC) benefits. It also requires certification of service and is aimed at veterans and their families, similar to the VSD 001.
- California Form CDVA 2: This form is used to apply for a California veteran's license plate. It requires proof of veteran status, akin to the verification process outlined in the VSD 001.
- VA Form 10-10EZ: This application is for health benefits through the VA. It also requires information about military service, similar to the VSD 001's focus on service verification.
Dos and Don'ts
When filling out the VSD 001 form, it is essential to follow specific guidelines to ensure a smooth application process. Here is a list of things you should and shouldn't do:
- Do print your information using blue or black ink.
- Do provide accurate and complete information, including your full name, date of birth, and contact details.
- Do sign and date the application to certify the truthfulness of your information.
- Do submit the form in person to the Department of Motor Vehicles along with your driver license or identification card application.
- Do ensure that you pay the required $5 fee for the veteran designation.
- Don't leave any required fields blank; incomplete forms can delay processing.
- Don't use pencil or any ink color other than blue or black.
- Don't forget to provide proof of service or any necessary documentation.
- Don't submit the form by mail if you are applying for a driver license or identification card; it must be done in person.
- Don't forget to check for any additional requirements specific to your situation.
By adhering to these guidelines, you can help ensure that your application is processed efficiently and accurately.
Misconceptions
Understanding the VSD 001 form can be tricky, especially with the various misconceptions surrounding it. Here are four common misunderstandings that need clarification:
- Misconception 1: The VSD 001 form can be submitted online.
- Misconception 2: Any veteran can use the VSD 001 form for any purpose.
- Misconception 3: The $5 fee is the only cost associated with the VSD 001 form.
- Misconception 4: You can complete the form without providing any proof of service.
This is not true. The VSD 001 form must be submitted in person to the Department of Motor Vehicles (DMV) along with your application for a driver license or identification card. While some forms can be submitted online, this particular form requires a personal touch.
Not all veterans can utilize this form for every situation. The VSD 001 is specifically designed for verifying veteran status and service-connected disabilities for the DMV. It serves distinct purposes, including obtaining a veteran designation on a driver's license or applying for disabled veteran license plates.
While there is a $5 fee for the veteran designation, additional costs may apply depending on the overall application for a driver license or identification card. It’s important to check with the DMV for a complete understanding of all associated fees.
This is a misunderstanding. The VSD 001 form requires verification of your military service. The applicant must certify their service and provide documentation that proves eligibility. This ensures that only qualified individuals receive the benefits associated with veteran status.
Key takeaways
Filling out and using the VSD 001 form requires careful attention to detail. Here are some key takeaways to ensure a smooth process:
- Complete the Form Accurately: Use blue or black ink to fill out your first name, middle name, last name, and other required personal information.
- Certification Requirement: You must certify your veteran status under penalty of perjury, confirming that you have served in the U.S. uniformed services and received an honorable discharge.
- Submission Location: This form must be submitted in person to the Department of Motor Vehicles (DMV) alongside your application for a driver license or identification card.
- Fee for Veteran Designation: In addition to other fees, you will need to pay a $5 fee specifically for the veteran designation on your card.
- Disabled Veteran Certification: If applicable, ensure that the County Veterans Service Office certifies your disability status, which may include various qualifying conditions.
- Documentation Review: The County Veterans Service Office will review your documents to verify your eligibility before signing the form.
- Mail Submission Option: If you are applying for disabled veteran license plates, you may submit this form and required documents either in person or by mail.
By following these guidelines, you can navigate the process of filling out and using the VSD 001 form effectively. For additional information, consider visiting the DMV's official website.