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Outline

The VSD 001 form plays a crucial role in helping veterans in California establish their status and verify service-connected disabilities. Designed for individuals seeking veteran status or disability verification, the form requires applicants to provide personal information, including their name, contact details, and military service history. Applicants must certify their service under penalty of perjury, ensuring that they have received an honorable discharge or were mobilized for federal active duty. Additionally, authorized representatives from the County Veterans Service Office complete sections of the form, confirming the applicant's eligibility based on the documentation presented. For those applying for a driver’s license or identification card with a veteran designation, this form must be submitted to the Department of Motor Vehicles along with the application. A nominal fee is also required for the veteran designation. Moreover, the form includes specific provisions for disabled veterans, detailing the criteria that must be met for those seeking disabled veteran license plates. Overall, the VSD 001 form serves as a vital tool in recognizing and honoring the sacrifices of veterans while ensuring they receive the benefits they deserve.

Sample - Vsd 001 Form

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

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

VSD-001 (Rev. 1/2021)

This form is not transferable

Form Information

Fact Name Description
Form Purpose The VSD 001 form is used to verify veteran status and service-connected disabilities in California.
Applicant Certification The applicant must certify their military service and discharge status under penalty of perjury.
Submission Requirement This form must be submitted in person to the Department of Motor Vehicles (DMV) along with a driver license or ID application.
Governing Law The form is governed by California Vehicle Code § 12811 (c)(5).
Fee for Veteran Designation A fee of $5 is required for the veteran designation on the driver's license or ID card.
Disabled Veteran Certification Disabled veterans must meet specific criteria, such as having a disability rated at 100% by the VA.
Authorized Personnel Only authorized County Veterans Service Office employees can complete sections of the form.
Signature Requirement Both the applicant and the County Veterans Service Office representative must sign the form.
Document Review The County Veterans Service Office must review all documents to ensure eligibility.
Transferability This form is not transferable; it is specific to the individual applying for verification.

Detailed Guide for Filling Out Vsd 001

Completing the VSD 001 form is a crucial step in verifying your veteran status and service-connected disability in California. After filling out this 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 all information is accurate and complete to avoid delays.

  1. Gather Required Information: Before you start filling out the form, collect your personal information, including your full name, date of birth, and identification details.
  2. Fill Out Section 1: In this section, provide your first name, middle name, last name, and suffix. Include your driver license or ID number, state of issuance, date of birth, email address, daytime telephone number, and mailing address. If your residence address is different from your mailing address, provide that information as well.
  3. Complete the Applicant Certification: Sign and date the certification statement in Section 2, confirming your service in the U.S. uniformed services and your discharge status.
  4. Leave Sections 3, 4, and 5 Blank: These sections will be completed by an authorized County Veterans Service Office employee or representative. You do not need to fill these out.
  5. Review Your Information: Double-check all the information you have entered in Section 1 and your signature in Section 2 to ensure accuracy.
  6. Submit the Form: Bring the completed VSD 001 form to your local DMV along with your application for a driver license or ID card. Remember to pay the additional $5 fee for the veteran designation.

Following these steps will help ensure a smooth process in obtaining your veteran designation. If you have any questions or need further assistance, consider reaching out to your local County Veterans Service Office or visiting the DMV website for more information.

Obtain Answers on Vsd 001

  1. What is the VSD 001 form?

    The VSD 001 form is a verification document used in California to confirm an individual's veteran status and service-connected disability. It is required for veterans seeking a driver license or identification card with a veteran designation, as well as for those applying for disabled veteran license plates.

  2. Who should complete the VSD 001 form?

    This form must be completed by the veteran applicant who is requesting verification of their veteran status and/or service-connected disability. The applicant is responsible for providing accurate personal information and certifying their military service.

  3. What information is required on the form?

    Applicants need to provide several details, including:

    • First name, middle name, last name, and suffix
    • Driver license or identification number and state of issuance
    • Date of birth
    • Email address and daytime telephone number
    • Mailing address and residence address (if different)

    Additionally, applicants must certify their military service and authorize the County Veterans Service Office to verify their documents.

  4. How is the form submitted?

    The VSD 001 form must be submitted in person to the Department of Motor Vehicles (DMV) along with an application for a driver license or identification card. This submission must comply with California Vehicle Code § 12811 (c)(5). If applying for disabled veteran license plates, the form can be submitted in person or by mail.

  5. What is the fee associated with the veteran designation?

    In addition to any other fees that may apply, there is a $5 fee for obtaining the veteran designation on a driver license or identification card. This fee must be paid at the time of submission.

  6. What does the certification section entail?

    The certification section of the form is completed by an authorized representative of the County Veterans Service Office. This representative verifies that the applicant meets the qualifications for veteran status and/or service-connected disability. Their signature and printed name are required to validate the application.

  7. What disabilities qualify for disabled veteran license plates?

    To qualify for disabled veteran license plates, the applicant must have a disability rated at 100% by the United States Department of Veterans Affairs or suffer from one or more specific disabilities, such as:

    • Severe mobility impairment
    • Inability to move without an assistive device
    • Loss or loss of use of limbs
    • Permanent blindness
  8. Is the VSD 001 form transferable?

    No, the VSD 001 form is not transferable. Each form is specific to the individual applicant and their unique circumstances regarding veteran status and disabilities.

Common mistakes

When filling out the VSD 001 form, applicants often make several common mistakes that can lead to delays or complications in the verification process. One significant error is failing to use the correct ink color. The instructions specify that applicants must print using blue or black ink. Using other colors can result in the form being rejected, as it may not be easily readable or may not comply with the submission requirements.

Another frequent mistake involves the accuracy of personal information. Applicants sometimes provide incorrect or incomplete details, such as their name, date of birth, or driver’s license number. This information must be precise, as discrepancies can hinder the verification process. It is essential to double-check all entries before submission to ensure that they match official documents.

Additionally, many individuals overlook the importance of signing and dating the application in Section 2. The applicant's signature is a certification of the truthfulness of the information provided. Without a signature or date, the form may be considered incomplete, leading to further delays in processing.

Finally, some applicants fail to submit the form in person, as required, or do not include the necessary application for a driver’s license or identification card. The VSD 001 form must be submitted alongside these applications at the Department of Motor Vehicles. Not adhering to this requirement can result in the form being rejected, necessitating a resubmission and additional waiting time.

Documents used along the form

The VSD 001 form is essential for California veterans seeking to verify their status and service-connected disabilities. However, it often accompanies other important documents that support the application process. Below are four forms and documents commonly used alongside the VSD 001 form.

  • DD Form 214: This document is the Certificate of Release or Discharge from Active Duty. It provides proof of military service and outlines the type of discharge received. Veterans typically need this form to establish eligibility for various benefits.
  • California Driver License Application: When applying for a driver license or identification card with a veteran designation, this application must be completed and submitted alongside the VSD 001 form. It ensures that all personal information is accurately recorded.
  • Veteran Disability Rating Letter: Issued by the U.S. Department of Veterans Affairs, this letter confirms the percentage of disability a veteran has been assigned. It is crucial for those applying for disabled veteran license plates or other disability-related benefits.
  • Proof of Identity Documents: These may include a birth certificate, Social Security card, or other government-issued identification. Such documents are necessary to verify the applicant's identity and eligibility when submitting the VSD 001 form.

Having these documents ready can streamline the application process and ensure that veterans receive the benefits they deserve. Always double-check requirements to avoid delays in processing your application.

Similar forms

The VSD 001 form serves a specific purpose in verifying veteran status and service-connected disabilities in California. Several other documents share similarities with this form in terms of function, structure, or intended use. Below is a list of seven such documents:

  • DD Form 214: This document is the official military discharge paper. Like the VSD 001, it verifies an individual's military service and discharge status, essential for accessing veteran benefits.
  • VA Form 21-526EZ: This is a claim form for veterans seeking disability compensation. Similar to the VSD 001, it requires the applicant to certify their service and disability status.
  • California Disabled Veteran License Plate Application: This application is for veterans seeking special license plates. It requires proof of veteran status and aligns with the VSD 001 in its verification process.
  • VA Form 10-10EZ: This is the application for health benefits. Like the VSD 001, it necessitates proof of military service and may require similar certifications.
  • California Veteran Benefits Application: This form is used to apply for various state benefits. It shares the need for verification of veteran status, much like the VSD 001.
  • VA Form 21-534EZ: This form is for survivors of veterans applying for dependency and indemnity compensation. It also requires documentation of military service, paralleling the VSD 001's verification requirements.
  • California Veteran Status Verification Form: This form is used for verifying veteran status for various purposes. Its primary goal is similar to that of the VSD 001, focusing on confirming military service and discharge status.

Dos and Don'ts

When filling out the VSD 001 form, there are important dos and don’ts to keep in mind. Following these guidelines will help ensure that your application is processed smoothly.

  • Do use blue or black ink when completing the form.
  • Do provide accurate and complete information, including your full name and contact details.
  • Do sign and date the certification section to confirm the truthfulness of your application.
  • Do submit the form in person to the DMV along with your application for a driver license or ID card.
  • Don’t leave any required fields blank; incomplete forms may delay processing.
  • Don’t use any ink color other than blue or black.
  • Don’t forget to include the $5 fee for the veteran designation.
  • Don’t submit the form by mail if you are applying for a driver license or ID card; it must be done in person.

Misconceptions

Misconceptions about the VSD 001 form can lead to confusion and delays in obtaining veteran status and service-connected disability verification. Here are six common misconceptions explained:

  • Only veterans can fill out the VSD 001 form. Many believe that only those who have served in combat can apply. In reality, any individual who has served in the United States uniformed services and received an honorable discharge is eligible to complete this form.
  • The form can be submitted online. Some assume that the VSD 001 form can be submitted electronically. However, this form must be submitted in person to the Department of Motor Vehicles (DMV) along with the application for a driver license or identification card.
  • A fee is not required for the veteran designation. There is a misconception that obtaining the veteran designation is free. In fact, a $5 fee must be paid in addition to any other fees associated with the driver license or identification card application.
  • All sections of the form can be completed by the applicant. Some individuals think they can fill out the entire form themselves. However, certain sections must be completed by authorized County Veterans Service Office employees, officers, or designees.
  • Disability verification is not necessary for veteran status. Many believe that they do not need to provide proof of disability if they are applying for veteran status. However, if applying for disabled veteran license plates, specific disability verification is required.
  • The VSD 001 form is transferable. Some people think that this form can be transferred to another individual. It is important to note that the VSD 001 form is not transferable and must be completed for each individual applicant.

Key takeaways

Filling out the VSD 001 form is a crucial step for veterans seeking verification of their status and service-connected disabilities in California. Here are some key takeaways to keep in mind:

  • Complete the Form Accurately: Ensure all sections are filled out using blue or black ink. Double-check your information, including your name, contact details, and identification numbers.
  • Certification Requirement: You must certify your service status under penalty of perjury. This means that the information you provide must be truthful and accurate.
  • Submission Process: The completed form must be submitted in person to the Department of Motor Vehicles (DMV) alongside your application for a driver’s license or identification card.
  • Veteran Designation Fee: A fee of $5 is required for the veteran designation on your DMV card, in addition to any other applicable fees.
  • Disabled Veteran Certification: If you are applying for disabled veteran license plates, ensure that the appropriate sections are completed by an authorized representative from the County Veterans Service Office.
  • Documentation Review: The County Veterans Service Office will review your documentation to confirm that you meet the necessary qualifications for veteran status or disability verification.

Understanding these points can help streamline the process and ensure that you receive the benefits you deserve. Your service is appreciated, and this form is a vital part of recognizing that service.