The VSD 001 form is the State of California's official document used for verifying veteran status and service-connected disabilities. It requires applicants to provide personal information and confirm their eligibility based on their military service. For those seeking veteran designation on a driver license or identification card, completing this form is an essential step in the process.
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The VSD 001 form, known as the California Veteran Status and Service-Connected Disability Verification form, plays a crucial role in facilitating the recognition of veterans and their benefits within the state. Designed for those requesting a veteran status declaration or verification of service-connected disabilities, this document comprises several sections that gather essential personal information and attest to the applicant’s military service. The first section requires basic identification details such as the individual's name, date of birth, contact information, and relevant identification numbers. Following this, the applicant must certify their eligibility under penalty of perjury, acknowledging their honorable service or status and granting permissions for verification. The subsequent sections are dedicated to County Veterans Service Office representatives, who validate the applicant’s claims by reviewing pertinent documentation. Additionally, for disabled veterans, the form confirms specific disabilities that qualify them for special license plates, requiring direct attention from the county's authorized employees. Overall, the VSD 001 form is pivotal not only for ensuring veterans receive their proper recognition but also for facilitating their access to related privileges, including a veteran designation on state-issued identification cards.
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
Completing the VSD 001 form is an essential step for veterans seeking to obtain verification of their status and, if applicable, service-connected disabilities. Following these instructions will help ensure that your application proceeds smoothly.
The VSD 001 form is designed to verify an individual's veteran status and service-connected disability. By filling out this form, applicants can request a designation on their driver licenses or identification cards that indicates they are veterans. This is particularly useful for veterans seeking benefits or recognition associated with their service.
The form must be completed by applicants who have served in the United States Armed Forces and are seeking to verify their veteran status. Specifically, it is for those who have received an honorable or other than dishonorable discharge. In addition, if an applicant is looking to obtain disabled veteran license plates, a specific section of the form must be filled out by an authorized County Veterans Service Office representative.
Applicants must submit the VSD 001 form in person to the Department of Motor Vehicles (DMV) when applying for a driver license or identification card. It is important to ensure that all sections of the form are completed, and a $5 fee for the veteran designation must also be paid at the time of submission. If the form is being submitted solely for the purpose of obtaining disabled veteran license plates, it can be sent by mail or submitted in person.
The form requires several pieces of information from the applicant, including:
Additionally, the applicant must certify under penalty of perjury that the information is true and provide appropriate documentation as requested by the County Veterans Service Office.
Once the VSD 001 form is submitted to the DMV along with the application for a driver license or ID card, the submissions will be reviewed. The DMV will process the request and, if all requirements are met, issue a card that indicates the veteran status. For those applying for disabled veteran license plates, the designated County Veterans Service Office will also review the documentation to confirm eligibility before issuing the plates.
Filling out the VSD 001 form is an important step for veterans seeking verification of their status and service-connected disabilities. However, there are common mistakes that individuals often make that can lead to delays or complications in the process. Understanding these pitfalls can help ensure that your application is completed accurately.
One major issue arises from not using blue or black ink when completing the form. The instructions clearly state the need for specific ink colors. Using any other color may render the application invalid or lead to complications during processing. This seemingly small detail can cause unnecessary setbacks.
Another frequent mistake is providing incomplete personal information. Every section of the form must be filled out thoroughly. Applicants often overlook fields such as their middle name, suffix, or state of issuance for identification. Omitting any of these details can stall the verification process, as officials rely on complete information to validate the applicant’s identity.
While certification is vital, some applicants fail to sign the form. The applicant's signature is not just a formality; it serves as a declaration that the provided information is true and accurate. Without a signature and date, the application cannot be processed, potentially delaying benefits for veterans who may be in need.
Additionally, neglecting to correctly verify the required documents can be an issue. Applicants often assume that any documentation will suffice, but the form specifies what is necessary. Gathering appropriate proof of service and disability, as stated on the form, is crucial in supporting the application.
Not updating contact information is another common oversight. Many veterans change their addresses, phone numbers, or email addresses but forget to update this information on their submitted forms. This can lead to wasted time and effort, as officials may be unable to reach the applicant for clarifications or updates about their application.
Lastly, many applicants do not remember to include the required fee for the veteran designation. Submitting the VSD 001 form without payment can result in processing delays. Being aware of all fees and submitting payment alongside the application is essential to avoid these issues.
By paying careful attention to each detail on the VSD 001 form, including the correct ink color, completing personal information fully, signing the certification, verifying documents, updating contact details, and submitting the necessary fee, veterans can help ensure that their applications are processed smoothly and efficiently.
The VSD 001 form is essential for veterans seeking verification of their status and disability. However, it may be accompanied by several other documents, each serving a specific purpose in the application process. The following list outlines these forms and documents commonly used alongside the VSD 001 form.
Each of these documents plays a crucial role in the process of verifying veteran status and accessing benefits. Having these forms ready can streamline the application experience and ensure that all necessary information is presented to the appropriate agencies.
The VSD 001 form, used for verifying veteran status and service-connected disability in California, shares similarities with several other forms. Below are eight documents that serve related purposes:
Understanding these documents and their interconnections can streamline processes for veterans seeking benefits and certifications.
When filling out the Vsd 001 form, it’s important to follow certain guidelines. Here’s a list of what you should and shouldn’t do.
By keeping these points in mind, you can help facilitate a smoother application process.
Understanding the VSD 001 form is crucial for veterans seeking verification of their service status and disability. However, there are several common misconceptions surrounding this form. Below are eight of these misconceptions, along with clarifications.
By understanding these misconceptions, veterans can navigate the application process more effectively and ensure they meet the necessary requirements for their desired benefits.
Trucking Companies With Lease Purchase - Termination of previous agreements between the parties is confirmed at the contract's signing.
Affidavit of Death of Joint Tenant California - Notifying all relevant parties about the trustee's death is part of the affidavit's role.