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The VSD 001 form is an essential document for veterans in California seeking to verify their veteran status and service-connected disabilities. This form serves multiple purposes, including the application for a veteran designation on a driver’s license or identification card, as well as for disabled veteran license plates. The process begins with the applicant providing personal information such as their name, date of birth, and contact details in the first section. Following this, the applicant must certify their service in the United States uniformed services, confirming that they received an honorable discharge or were mobilized for federal active duty. The form also requires verification by a representative from the County Veterans Service Office, who must review the documentation and affirm the applicant's qualifications. For those applying for disabled veteran license plates, additional certification is necessary, indicating specific disabilities resulting from military service. It is important to note that this form must be submitted in person to the Department of Motor Vehicles, along with the relevant application, and a fee is required for the veteran designation. Overall, the VSD 001 form plays a critical role in ensuring that veterans receive the recognition and benefits they have earned through their service.
Dos and Don'ts
When filling out the VSD 001 form, it is essential to follow specific guidelines to ensure your application is processed smoothly. Here are five things you should and shouldn't do:
- Do print using blue or black ink to ensure clarity.
- Do provide accurate information, especially your name, date of birth, and contact details.
- Do sign and date the certification section to confirm your statements are true.
- Do submit the form in person at the DMV along with your application for a driver license or identification card.
- Do pay the $5 fee for the veteran designation as required.
- Don't leave any sections blank; incomplete forms may lead to delays.
- Don't use any ink color other than blue or black, as it may cause issues with legibility.
- Don't provide false information; this can lead to legal consequences.
- Don't forget to check the requirements for disabled veteran license plates if applicable.
- Don't assume that submitting by mail is acceptable for all applications; verify the requirements first.
Document Attributes
| Fact Name | Description |
|---|---|
| Purpose | The VSD 001 form is used in California to verify a person's veteran status and service-connected disability for benefits such as a veteran designation on a driver's license or identification card. |
| Applicant Certification | Applicants must certify under penalty of perjury that they have served in the U.S. uniformed services and received an honorable discharge, or were mobilized for federal active duty. |
| Submission Requirements | This form must be submitted in person to the Department of Motor Vehicles (DMV) alongside an application for a driver's license or ID card, as per California Vehicle Code § 12811 (c)(5). |
| Disabled Veteran Certification | For those applying for disabled veteran license plates, the form certifies that the applicant has a disability rated at 100% by the U.S. Department of Veterans Affairs or meets other specific criteria. |
| Fees | A $5 fee is required for the veteran designation on the driver's license or ID card, in addition to any other applicable fees. |
| Non-Transferability | The VSD 001 form is not transferable, meaning it is specific to the individual who completes it and cannot be used by another person. |
Key takeaways
When filling out and using the VSD 001 form, it’s essential to understand the following key points:
- Complete the form accurately: Ensure all personal information, including your name, contact details, and identification number, is filled out clearly using blue or black ink.
- Certification is crucial: You must certify under penalty of perjury that you have served in the U.S. uniformed services and received an honorable discharge. This certification is a legal requirement.
- Submission location: The completed form must be submitted in person to the Department of Motor Vehicles (DMV) along with your application for a driver license or identification card.
- Pay the required fee: A fee of $5 is necessary for the veteran designation on your ID or driver license. Ensure you include this payment when you submit your application.
- Disabled veteran certification: If applying for disabled veteran license plates, ensure that the form is completed by an authorized representative from the County Veterans Service Office, confirming your disability status.
- Check submission options: If you are applying solely for disabled veteran license plates, you may submit the form by mail or in person, but all requirements must still be met.
Understanding these points will help ensure a smoother application process and avoid potential delays. Always double-check your information before submission to prevent issues down the line.
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Example - Vsd 001 Form
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 |
Detailed Instructions for Writing Vsd 001
After completing the VSD 001 form, you will need to submit it in person to the Department of Motor Vehicles (DMV) along with your application for a driver license or identification card. Ensure that you meet all requirements for obtaining a veteran designation on your card. A $5 fee is also required for this designation.
- Gather your information: Collect your first name, middle name, last name, suffix, driver license or identification number, state of issuance, date of birth, email address, daytime telephone number, and mailing address.
- Fill out Section 1: Use blue or black ink to print your information clearly in the appropriate fields.
- Complete the Applicant Certification: Read the certification statement carefully. Sign and date the form in the designated area.
- Prepare for Section 3: This section will be filled out by a County Veterans Service Office representative. You may need to visit their office for verification.
- Complete Section 4 (if applicable): If you are applying for disabled veteran license plates, ensure this section is filled out by an authorized representative.
- Review your form: Double-check all entries for accuracy and completeness before submission.
- Submit the form: Take the completed form to the DMV along with your application and payment for the veteran designation.
Documents used along the form
The VSD 001 form is essential for veterans seeking verification of their status and service-connected disabilities in California. However, several other forms and documents often accompany it to ensure a smooth application process. Below is a list of these documents, each serving a unique purpose.
- Application for Driver License or Identification Card: This form is necessary for veterans applying for a driver license or ID card that includes a veteran designation. It must be submitted alongside the VSD 001 form.
- Proof of Military Service: Documentation such as a DD Form 214 or other discharge papers is required to establish eligibility for veteran status and benefits.
- Disabled Veteran License Plate Application: This form is used specifically for veterans who wish to obtain special license plates that indicate their disabled status.
- New York Residential Lease Agreement: The NY Templates provide a useful resource for landlords and tenants to create a clear and binding lease agreement that outlines essential terms and conditions.
- Income Verification Documents: Depending on the benefits being applied for, veterans may need to provide proof of income, such as tax returns or pay stubs, to demonstrate financial eligibility.
- Medical Records: These records may be required to substantiate claims of service-connected disabilities, detailing injuries or illnesses incurred during military service.
- Authorization for Release of Information: This form allows the County Veterans Service Office to access relevant military and medical records, facilitating the verification process.
- Veteran Benefits Application: If seeking additional benefits beyond license designation, veterans may need to fill out this application to access services provided by the Department of Veterans Affairs.
Each of these documents plays a crucial role in verifying a veteran's status and ensuring they receive the benefits they deserve. Proper preparation and submission of these forms can significantly streamline the process.