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The VSD 001 form is an essential document for veterans in California seeking to establish their military service status and any service-connected disabilities. This form enables veterans to request verification either for a veteran’s designation on their driver license or identification card, or to apply for disabled veteran license plates. It is divided into several key sections. The first section requires personal details from the applicant, including their name, contact information, and military service background. Next, the applicant must certify their service and provide authorization for the County Veterans Service Office to verify their documentation. Authorized representatives from the County Veterans Service Office play a critical role in validating the applicant's status and completing the necessary certification within the form. Additionally, there are specific provisions related to disabled veterans, outlining the nature of disabilities that qualify for specialized license plates. It’s important to remember that submission of the VSD 001 form must occur in person at the Department of Motor Vehicles along with any applicable fees. Understanding the details and requirements of this form can significantly streamline the process for veterans who want to ensure their service is recognized and gain access to the benefits they deserve.

Vsd 001 Example

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 Characteristics

Fact Name Details
Governing Law This form adheres to the California Vehicle Code § 12811 (c)(5), which regulates the issuance of driver licenses and identification cards with a veteran designation.
Applicant Requirements Applicants must provide proof of service in the United States uniformed services and hold an other than dishonorable discharge.
Disabled Veteran Certification To qualify for disabled veteran license plates, applicants must meet specific disability criteria outlined in the form.
Submission Method The completed VSD 001 form must be submitted in person or by mail, depending on the application type.
Fee Requirement A $5 fee is required for the veteran designation on the driver license or identification card, in addition to any other applicable fees.

Guidelines on Utilizing Vsd 001

Completing the VSD 001 form correctly is essential for verifying veteran status and service-connected disability in California. Ensure that each section is filled out accurately before submitting the form along with your application for a driver license or identification card at the DMV.

  1. Gather Required Information: Collect all necessary personal information, including your full name, date of birth, and contact details.
  2. Fill Out Section 1: Write your first name, middle name (if applicable), last name, and any suffix. Include your driver license or ID number, state of issuance, date of birth in the MM/DD/YYYY format, email address, daytime telephone number, mailing address, and residence address if it's different from the mailing address.
  3. Complete Applicant Certification: Read and sign the certification statement in Section 2. You must also write the date of signing.
  4. Section for County Veterans Service Office: If necessary, an authorized representative will fill out Sections 3, 4, and 5. Ensure they provide the required certification and signatures.
  5. Double-Check All Information: Review the form for any mistakes or missing information before submission. Ensure everything is written in blue or black ink.
  6. Submit the Form: Take the completed form to the DMV. Remember to bring all other application documents and a $5 fee for the veteran designation.

After submitting the VSD 001 form, it's crucial to keep copies of all documents for your records. You’ll receive confirmation of your veteran status or disabled veteran designation during the DMV application process. For further assistance or details, you can always visit the DMV website.

What You Should Know About This Form

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 disabilities. It is essential for veterans seeking a designation on their driver’s license or identification card, or those applying for disabled veteran license plates.

Who should complete this form?

This form must be completed by any individual requesting verification of their veteran status or a service-connected disability. The individual must have served in the U.S. uniformed services and received an discharge that is not dishonorable.

What information is required on the form?

Applicants need to provide personal details such as their name, date of birth, contact information, and details related to their military service. Additionally, the form requires a certification under penalty of perjury affirming the accuracy of the provided information.

How is the form certified?

After the applicant completes their portion, an authorized representative from the County Veterans Service Office must verify and certify the information. This representative will confirm that the applicant meets the qualifications set out in the form.

Where do I submit the completed form?

The completed VSD 001 form must be submitted in person to the Department of Motor Vehicles (DMV) along with an application for a driver's license or identification card. It must comply with California Vehicle Code § 12811 (c)(5).

Is there a fee associated with the application?

Yes. In addition to any other applicable fees for the driver’s license or identification card, there is a $5 fee for the veteran designation. This fee is required to process your request.

What if I am applying only for disabled veteran license plates?

If the form is being submitted solely for disabled veteran license plates, it can be sent either in person or by mail. All other necessary documentation must also be included to prove your identity and residency.

Can this form be transferred to another individual?

No, the VSD 001 form is not transferable. Each form must be uniquely completed and submitted by the eligible veteran themselves.

Where can I find more information about the VSD 001 form?

For additional details and resources, you can visit the California DMV's official website at www.dmv.ca.gov, where comprehensive information about the form and other related services is available.

Common mistakes

Filling out the VSD 001 form accurately is crucial for those seeking veteran status or service-connected disability verification. However, many individuals encounter avoidable mistakes that can delay the processing of their applications. Here are nine common errors to avoid.

One prevalent mistake is using the wrong ink color. Applicants are instructed clearly to print using blue or black ink, yet some ignore this requirement. When forms are completed in pencil or other colors, it leads to complications and can necessitate a redo of the entire document.

Another frequent error involves incomplete personal information. Some applicants forget to provide all requested details, such as their email address or daytime telephone number. Missing this information can hinder the County Veterans Service Office from reaching the applicant for necessary follow-up.

Providing an incorrect or outdated mailing address is also an issue that can cause significant delays. Furthermore, applicants sometimes neglect to check the accuracy of their state-issued identification number. When essential identification details are wrong, it could result in complications during verification.

Furthermore, applicants often overlook the acknowledgment of the certification section. This part requires a signature and date, but some individuals might forget to sign or date the form altogether. Such omissions render the form incomplete and lead to processing delays.

An additional mistake pertains to not keeping copies of submitted documents. Many individuals submit the form and any accompanying documents without retaining a copy for their records. This oversight can pose difficulties if proof of submission becomes necessary later.

Moving to section-specific errors, some applicants misconstrue the requirements for certified disability. The form outlines precise conditions that qualify an individual as a disabled veteran, yet some applicants provide vague or ambiguous information, which complicates the approval process.

Using incorrect terminology within the application is another mistake that can lead to misunderstandings. Describing veteran status or disabilities inaccurately may evoke questions or pushbacks from the County Veterans Service Office, prolonging the process further.

Not understanding the fee requirements can also impede progress. Applicants must include a $5 fee when applying for veteran designation on a driver license or identification card. Neglecting this fee leads to immediate rejection of the application.

Finally, failing to verify all information before submission is a critical error. A simple final review can help catch many of the mistakes mentioned earlier. Ensuring accuracy and completeness before turning in the VSD 001 form significantly enhances the chances of a smooth processing experience.

Documents used along the form

The VSD 001 form functions as a vital document in applying for veterans' benefits in California. It is often accompanied by additional paperwork that provides necessary information and support for your application. Here is a list of forms and documents you might encounter.

  • DD Form 214: This form serves as a Certificate of Release or Discharge from Active Duty. It provides proof of military service, including the length of service and discharge status.
  • Application for Disabled Veteran License Plates: This application is used to request special license plates for disabled veterans. It typically requires proof of disability from the Veterans Affairs Department.
  • California Veteran's Benefits Guide: This guide outlines the various benefits available to veterans in California. It may include details about financial aid, housing, and healthcare services.
  • VSO Referral Form: Used to transfer the responsibility of your case to a Veterans Service Officer (VSO). This form is essential for receiving personalized assistance with your claims or applications.
  • VA Healthcare Enrollment Form: This document enrolls veterans in the Department of Veterans Affairs healthcare program. Proof of service and discharge status are typically required.
  • Social Security Benefits Application: Veterans may qualify for Social Security benefits based on their service. This application outlines the necessary documentation needed to apply.
  • Job Training and Employment Assistance Application: This application allows veterans to access training programs and job placement services. It often requires proof of veteran status.
  • Spouse or Dependent Benefits Application: This form is for spouses or dependents of veterans applying for benefits. It aims to assist those who were dependent on the service member for support.
  • Claim for Compensation or Pension (VA Form 21-526EZ): This is used to apply for disability compensation or pension benefits. Clear documentation of service-connected disabilities is typically required.

Understanding these forms can streamline the process of obtaining the necessary benefits. Each plays a role in ensuring veterans receive the services and recognition they deserve.

Similar forms

  • Department of Veterans Affairs Form 21-526EZ: This form is used to apply for veterans’ disability compensation benefits. Like the Vsd 001 form, it requires detailed personal information and verification of military service. Both forms confirm an applicant's status as a veteran and help establish eligibility for benefits.

  • California Disabled Veterans License Plate Application (Form REG 17): This document is specifically used to apply for disabled veteran license plates. Similar to the Vsd 001, it evaluates disability status and requires verification from authorized representatives, ensuring that only eligible veterans receive these plates.

  • Veteran Identification Card Application (Form 10-10EZ): This application is for obtaining a veteran ID card. Both the Vsd 001 and this form serve to affirm veteran status and require personal information along with authentication by authorized personnel.

  • California Veteran's Preference Application (Form 400-6): This form is for veterans seeking employment preferences with the state. Just like the Vsd 001, it asks for military service details and supporting documentation to verify veteran status, ensuring fairness in job applications.

  • Service-Connected Disability Benefits Application (Form 21-534EZ): Used for widows or dependents to apply for benefits from deceased veterans, this application shares similarities with the Vsd 001 by focusing on service-related disabilities and necessitating verification of military service and relationships.

Dos and Don'ts

When filling out the Vsd 001 form, following specific guidelines can help ensure that your application is processed smoothly. Here are eight essential dos and don'ts:

  • Do print your information using blue or black ink to ensure clarity.
  • Do provide accurate and complete details, including your first name, last name, and date of birth.
  • Do sign and date the applicant certification section to validate your claim.
  • Do include a valid driver license or identification number in the designated section.
  • Don't leave any sections blank; each part of the form must be completed.
  • Don't use red ink or pencil; it may not be accepted by the processing office.
  • Don't forget to check your mailing address; it should match your residence address if applicable.
  • Don't submit the form without the necessary fees or additional documentation required for verification.

Misconceptions

Here are six common misconceptions about the VSD 001 form, which verifies veteran status and service-connected disability in California:

  • Only veterans with service-connected disabilities can use the VSD 001 form. In reality, any veteran with an honorable discharge can apply for verification using this form, regardless of whether they have a service-related disability.
  • The form must be submitted online. This is incorrect; 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 ID card.
  • All veterans automatically qualify to have "Veteran" marked on their ID. Not all veterans are eligible for this designation. Applicants must meet specific criteria and submit the VSD 001 form correctly.
  • It is optional to submit this form for veterans' designations. For veterans seeking a designation on their driver license or ID, submitting the VSD 001 form is a required step.
  • The form can be submitted by mail. While documents can be sent in for certain applications, the VSD 001 form must be submitted in person for DMV-related purposes.
  • The $5 fee only applies if applying for disabled veteran plates. The fee applies to all veterans requesting the veteran designation, not just those seeking disabled veteran plates.

Key takeaways

The VSD 001 form is an essential document for veterans in California seeking to verify their veteran status and, potentially, a service-connected disability. Here are some key takeaways:

  • Accurate Information Required: When filling out the form, ensure that all personal details, such as your name, address, and identification number, are accurate and clearly printed in blue or black ink.
  • Certification of Service: You must certify that you have served in the U.S. uniformed services and received an honorable or other than dishonorable discharge. This certification is crucial for your application to be valid.
  • Submission Process: 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. Be prepared to pay a fee of $5 for the veteran designation.
  • Additional Documentation for Disabled Veterans: If you're applying for disabled veteran license plates, you will need further documentation demonstrating your disability status, which can be submitted either in person or by mail.

Using the VSD 001 form properly can greatly assist veterans in accessing benefits and services tailored to their needs.