The VSD 001 form is an essential document for veterans in the State of California, used to verify veteran status and service-connected disabilities. It facilitates veterans' access to certain benefits, including designations on driver licenses and identification cards, and eligibility for disabled veteran license plates. The process requires verification by the County Veterans Service Office and includes sections for applicant certification, disabled veteran certification, and official use by the Department of Motor Vehicles.
In the State of California, veterans seeking to verify their status and/or service-connected disability for state benefits, including those related to driver licenses or identification cards, utilize the VSD 001 form. This intricate document comprises sections that must be filled out meticulously using blue or black ink, beginning with personal information submitted by the applicant. It extends further to include certifications and verification steps, mandate involvement from the County Veterans Service Office (CVSO), and require applicant’s acknowledgment under penalty of perjury regarding their service and discharge conditions. The form also encompasses provisions for disabled veteran license plates, detailing criteria like severe mobility impairment or loss of limbs. Furthermore, it underscores the necessity for submission in conjunction with DMV procedures, accompanied by a nominal fee for veterans seeking designation on their identification documents. Serving both as a verification tool and a gateway to benefits, the VSD 001 form symbolizes a critical juncture in recognizing and honoring the sacrifices of veterans within California, mandating a scrupulous process to ensure authenticity and accuracy in the representation of one’s veteran status.
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 is a necessary step for veterans in California seeking to verify their status and/or service-connected disability for various benefits, including obtaining a driver license or identification card with a veteran designation. This process involves providing accurate personal information, certifying veteran status, and getting verification from a County Veterans Service Office. It's also used by disabled veterans applying for special license plates. Making sure you follow each step carefully ensures your application is processed smoothly and correctly.
By following these steps, you're moving closer to obtaining your veteran designation and/or disabled veteran license plates. This not only marks your service but also provides access to certain benefits to which you are entitled. For more detailed information or if you encounter issues, visiting the official DMV website or contacting your local County Veterans Service Office is recommended.
What is the VSD 001 form?
The VSD 001 form is a document used by the State of California for veterans to verify their status and service-connected disabilities. It allows veterans to apply for a driver license or identification card with a veteran designation, or for disabled veteran license plates, reflecting their service to the country.
Who needs to fill out the VSD 001 form?
Any veteran residing in the State of California who wishes to have their veteran status or service-connected disabilities recognized on their California driver license, ID card, or to apply for disabled veteran license plates must complete the VSD 001 form.
What information is required to fill out the VSD 001 form?
Applicants must provide personal information such as name, driver license or identification number, date of birth, contact details, and addresses. They must also certify their military service and discharge status under penalty of perjury, and authorize the verification of their documents by the County Veterans Service Office (CVSO).
How is the VSD 001 form submitted?
To submit the VSD 001 form, the applicant must take it in person to the Department of Motor Vehicles (DMV) along with an application for a driver license or identification card. If the form is being submitted for disabled veteran license plates only, it can be submitted in person or by mail as detailed by the DMV.
Is there a fee associated with the VSD 001 form?
Yes, there is a $5 fee required for the issuance of a driver license or identification card with a veteran designation. This fee is in addition to any other fees associated with the application process.
What certifications are necessary for the VSD 001 form?
Two certifications are necessary: one by the applicant, certifying their veteran status or service-connected disability under penalty of perjury, and the other by an authorized County Veterans Service Office representative, certifying the applicant's eligibility based on the provided documentation.
Who verifies the information provided on the VSD 001 form?
The information provided on the VSD 001 form is verified by employees, officers, or designees of the County Veterans Service Office (CVSO), who are authorized representatives of the California Department of Veterans Affairs.
What are the qualifications for disabled veteran license plates as mentioned in the form?
To qualify for disabled veteran license plates, an applicant must suffer from one or more of the following as a result of service: a disability rated at 100% by the United States Department of Veterans Affairs, severe mobility impairment requiring an assistant device, loss or loss of use of one or more limbs, or permanent blindness as defined by California law.
Filling out the VSD 001 form, which is essential for veterans in California seeking to verify their status and/or service-connected disability, can sometimes be stressful. A common mistake occurs when applicants use ink colors other than blue or black, which is a specific requirement. This might seem minor, but using the wrong ink color can lead to the rejection of the form and delay the process.
Another frequent oversight is failing to provide a complete mailing address, including the city, state, and ZIP code. It's crucial for the address to be accurate and complete to ensure that any correspondence or essential documents reach the applicant without any issues. Similarly, if the residence address is different from the mailing address, omitting this information can cause significant confusion and delays.
Often, applicants skip the section that requires the email address and daytime telephone number. Providing these contact details is vital as it allows the County Veterans Service Office (CVSO) and the Department of Motor Vehicles (DMV) to reach out to the applicant for any clarifications or additional information needed.
One of the gravest errors made by applicants is not signing the applicant certification section or dating it incorrectly. The signature verifies the truthfulness of the information provided and authorizes the verification of documents. An unsigned or undated form cannot be processed, standing as a testament to incomplete paperwork.
In the section designed for the County Veterans Service Office, mistakes often arise when the office employee, officer, or designee neglects to fill out the form completely. This includes leaving out the office address, phone number, or county email address. This information is necessary for ensuring the credibility and traceability of the verification process.
Another error happens when individuals do not review the disabled veteran certification requirements thoroughly and submit documentation that does not clearly demonstrate the qualifying disability. This oversight can lead to unnecessary back-and-forth and potentially delay the issuance of disabled veteran license plates.
Failing to acknowledge the form's final declaration, that it must be submitted in person along with the application for a driver license or identification card, is a critical mistake. This specific instruction is often overlooked, leading applicants to mistakenly mail the form or submit it through inappropriate channels, causing delays in processing.
Not paying attention to the $5 fee required for the veteran designation on the driver license or identification card is another common mistake. This oversight can lead to incomplete applications, as the fee is integral to the application process.
Lastly, a mistake often made by applicants is the failure to provide acceptable proof of true full name and date of birth for the application for disabled veteran license plates. This essential detail, if omitted, stalls the verification process until the necessary documentation is provided.
When applying for veteran status and/or service-connected disability verification using the VSD 001 form, there are several other documents and forms that you might also need to use. These documents are crucial for establishing eligibility, verifying identity, and fulfilling specific requirements associated with your application.
Collecting and preparing these documents in advance can streamline the process of applying for a driver’s license or identification card with a veteran designation. It’s important to ensure all information is current and accurate before submission to avoid any delays or issues with your application.
The DD Form 214, or Certificate of Release or Discharge from Active Duty, is similar to the VSD 001 form in that both are used by veterans to verify their service history and discharge status. The DD Form 214 is a comprehensive document issued by the Department of Defense upon a military service member's retirement, separation, or discharge from active-duty military. This form is often required for veterans to access government benefits, making it akin to the VSD 001 form's role in verifying veteran status for obtaining specific benefits, such as a veteran designation on a driver's license or identification card.
The Application for VA Health Benefits (VA Form 10-10EZ) shares similarities with the VSD 001 form as both involve the verification of veteran status and the provision of personal information to access specific benefits. The VA Form 10-10EZ is used by veterans to enroll in the VA health care system. Like the VSD 001, it requires veterans to provide details about their military service, personal identification information, and, in some cases, medical information to determine eligibility for health benefits.
The Disabled Veteran License Plate Application forms that vary by state, have a similar purpose to the VSD 001 form's Section 4. These forms are used by disabled veterans to apply for special license plates that identify them as disabled veterans. Similar to the VSD 001 form, applicants must provide proof of their service-connected disabilities, veteran status, and, often, a certification from a relevant authority, such as the Department of Veterans Affairs or a state's County Veterans Service Office.
Application for Military Skills Test Waiver (CDL-SK TST WVR) parallels the VSD 001 form in its utility for veterans transitioning into civilian life. This form is specifically designed for veterans seeking to leverage their military vehicle operation experience to waive the skills test portion of the commercial driver license (CDL) application process. Like the VSD 001 form, it requires verification of military service and, in some contexts, the type of military discharge, underscoring the forms' shared emphasis on recognizing the value of military experience in civilian capacities.
When completing the VSD 001 form, it's important to follow certain guidelines to ensure the process goes smoothly. Below are the do's and don'ts to keep in mind.
When discussing the State of California's VSD 001 form, related to Veteran Status and Service-Connected Disability Verification, there are several misconceptions that need to be clarified to ensure accurate understanding and compliance.
The VSD 001 form is for driver license renewal only: This is incorrect. The VSD 001 form serves a dual purpose. It is not only for the renewal of a driver license but also for the application of a new license or identification card with a veteran designation. This includes verifying the status for disabled veteran license plates.
Submission via mail is always an option: This misconception is partly true. While the form, especially for disabled veteran license plates, can be submitted by mail, the initial submission for a driver license or identification card with a veteran designation must be done in person at the Department of Motor Vehicles (DMV).
There are no additional fees: In fact, applying for a veteran designation on a driver license or identification card involves a $5 fee in addition to any standard or other fees applicable for the license or ID card application.
Any veteran can apply: The eligibility for application is specifically for those veterans who have received an other than dishonorable discharge or served in a Guard or Reserve component and were mobilized for federal active duty. Verification of such status is required for the application to be processed.
County Veterans Service Office (CVSO) involvement is optional: Contrary to this belief, certification by an authorized County Veterans Service Office employee, officer, or designee is a mandatory step in the process. They play a crucial role in verifying and certifying the veteran's qualification for the program.
The form can be used nationwide: The VSD 001 form is specific to the State of California and is used in compliance with California Vehicle Code. Veterans residing in or moving to other states must consult the relevant state departments or agencies for veteran designation processes.
All sections must be completed by the applicant: This is not the case. The VSD 001 form comprises sections that are filled out by different parties. While the applicant completes the initial section, subsequent sections require certification and completion by an authorized representative of the County Veterans Service Office.
Understanding these nuances ensures that veterans and their advocates can navigate the procedures for obtaining veteran designations on California licenses and identification cards with clarity and accuracy.
When filling out and using the VSD-001 form for veteran status and service-connected disability verification in California, it's crucial to pay attention to several important aspects:
This form plays a crucial role for veterans in California seeking to leverage benefits and recognitions specific to their service and sacrifices, making understanding its requirements and sections pivotal.
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