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The VSD 001 form is a crucial document for veterans in California seeking to verify their veteran status and service-connected disabilities. Designed to streamline the process, it consists of several sections that require specific information from the applicant. In the first section, veterans must provide personal details such as their name, date of birth, and contact information. This ensures that the application can be accurately processed. The second section is a certification where the applicant affirms their military service and discharge status, while also granting permission for the County Veterans Service Office (CVSO) to verify the provided information. The form also includes sections for authorized CVSO representatives to confirm the applicant’s eligibility and to certify any disabilities that may qualify them for special license plates. Notably, this form must be submitted in person to the Department of Motor Vehicles alongside an application for a driver’s license or identification card, and a nominal fee is required for the veteran designation. Understanding the components and requirements of the VSD 001 form is essential for veterans looking to access the benefits and recognition they deserve.
Common mistakes
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Using the Wrong Ink Color: Applicants often overlook the instruction to use blue or black ink. Submitting the form in a different color can lead to processing delays or rejection.
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Incomplete Personal Information: Failing to provide all required personal details, such as the driver's license number or date of birth, is a common mistake. Each section must be filled out thoroughly to avoid complications.
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Not Signing the Certification: It’s crucial for applicants to sign the certification section. Without a signature, the form is incomplete and cannot be processed.
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Ignoring Submission Guidelines: Some individuals do not follow the submission guidelines properly. Remember, the form must be submitted in person to the Department of Motor Vehicles along with the appropriate application. Ignoring this step can result in delays in receiving the veteran designation.
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Key takeaways
When filling out the VSD 001 form, applicants should keep the following key takeaways in mind:
- Accurate Information: Ensure all personal details, such as name, date of birth, and identification number, are filled out accurately using blue or black ink.
- Certification Requirement: The applicant must certify under penalty of perjury that the information provided is true and that they have served in the U.S. uniformed services with an honorable discharge.
- Submission Process: This form must be submitted in person to the Department of Motor Vehicles (DMV) along with a driver license or identification card application.
- Fee Payment: A $5 fee is required for the veteran designation on the driver license or identification card.
- Disabled Veteran Certification: If applying for disabled veteran license plates, the applicant must meet specific disability criteria as outlined in the form.
- Documentation Review: An authorized County Veterans Service Office representative must review and certify the documentation provided by the applicant.
- Mail Submission Option: For applications specifically for disabled veteran license plates, the form can be submitted by mail or in person, along with necessary identification proof.
Vsd 001 Example
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 |
Understanding Vsd 001
What is the purpose of the VSD 001 form?
The VSD 001 form is used in California to verify an individual's veteran status and service-connected disability. It is particularly important for those seeking a veteran designation on their driver license or identification card, as well as for disabled veterans applying for special license plates.
Who should complete the VSD 001 form?
The form should be completed by any individual who has served in the United States uniformed services and wishes to request verification of their veteran status or service-connected disability. This includes veterans with an other than dishonorable discharge and members of the Guard or Reserve who have been mobilized for federal active duty.
What information is required on the VSD 001 form?
Applicants must provide several details, including:
- First name, middle name, last name, and suffix
- Driver license or identification number
- State of issuance and date of birth
- Email address and daytime telephone number
- Mailing address and residence address (if different)
Additionally, the applicant must certify their service and authorize verification of their documents.
What does the certification section entail?
In the certification section, the applicant declares under penalty of perjury that they have served in the military and received an acceptable discharge. This section also grants permission for County Veterans Service Office (CVSO) employees to verify the provided information.
How is the 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 license or identification card. It is important to meet all requirements outlined in California Vehicle Code § 12811 (c)(5) for the veteran designation to be issued.
Is there a fee associated with the VSD 001 form?
Yes, in addition to any other applicable fees, there is a $5 fee for the veteran designation on the driver license or identification card. This fee must be paid at the time of application submission.
What if I am a disabled veteran?
If you are a disabled veteran, the form includes a section that must be completed by an authorized representative from the County Veterans Service Office. This section certifies that you have a qualifying disability resulting from your military service, such as a 100% disability rating or permanent blindness.
Can the VSD 001 form be submitted by mail?
For applications specifically for disabled veteran license plates, the VSD 001 form can be submitted either in person or by mail. However, all other requirements, including proof of identity, must still be met.
Where can I find more information about the VSD 001 form?
For additional details regarding the VSD 001 form and the application process, you can visit the California DMV website at www.dmv.ca.gov. This resource provides comprehensive information and guidance for veterans seeking services.
How to Use Vsd 001
After gathering the necessary information, you are ready to fill out the VSD 001 form. This form is essential for verifying veteran status and service-connected disability. Ensure you have all required details at hand, including personal identification and any relevant documentation. Follow these steps to complete the form accurately.
- Begin with Section 1. Write your first name, middle name, last name, and suffix if applicable.
- Provide your driver license or identification number along with 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 differs from your mailing address, fill in the city, state, and ZIP code for your residence.
- Proceed to Section 2. Read the certification statement carefully. Sign and date the form to confirm that the information you provided is true and correct.
- Leave Section 3 blank. This section will be completed by an authorized County Veterans Service Office employee, officer, or designee.
- If applicable, Section 4 will also be filled out by an authorized representative. This section pertains to disabled veteran certification for license plates.
- Finally, ensure that all sections are filled out as required before submitting the form in person to the Department of Motor Vehicles.
Once you have completed the form, submit it along with your application for a driver license or identification card. Ensure that you meet all other requirements for the veteran designation, including the payment of any necessary fees. For further assistance or information, visit the California DMV website.