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The VSD 001 form serves as a crucial document for veterans in the State of California, streamlining the process to verify veteran status and service-connected disabilities for various state benefits, including identification marking and specialized license plates. This comprehensive form is divided into several sections, each meticulously designed to capture the essential information from the applicant, ranging from personal details to certification of their veteran status or disability. The initial section beckons veterans to provide their personal information in a clearly structured format, which is followed by an applicant certification affirming their military service and discharge status under the penalty of perjury. Authorized representatives from the County Veterans Service Office (CVSO) play a pivotal role, as their endorsement in subsequent sections authenticates the veteran's qualifications for the benefits sought. The form underscores the collaboration between the veterans, the CVSO, and the California Department of Motor Vehicles (DMV), requiring in-person submission alongside a driver license or identification card application, signifying a structured yet supportive path to recognizing veterans' sacrifices through tangible benefits. This detailed approach, while outlining specific disabilities that qualify for additional recognitions such as disabled veteran license plates, emphasizes the state's commitment to accurately and respectfully acknowledging the veteran community’s service and challenges.

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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

File Characteristics

Fact Number Description
1 The VSD-001 form is used by the State of California.
2 It serves for Veteran Status and Service-Connected Disability Verification.
3 Applicants must complete Section 1 of the form with details like name, contact, and service information.
4 In Section 2, the applicant certifies their veteran status and/or service-connected disability under the penalty of perjury.
5 This form requires authorization for County Veterans Service Office (CVSO) employees, officers, and designees to verify documents presented.
6 Sections 3 and 5 involve certification by a County Veterans Service Office representative, verifying the applicant's qualifications.
7 The form incorporates compliance with California Vehicle Code § 12811 (c)(5) for obtaining a driver license or identification card with a veteran designation.
8 There is a $5 fee for the veteran designation on the applicable DMV issued cards.
9 The form includes a section for Disabled Veteran Certification for license plates, assessing mobility impairments and other disabilities.
10 The final certification must be submitted either in person or by mail for applicants seeking disabled veteran license plates.

Steps to Writing Vsd 001

Filling out the VSD 001 form is an important step for veterans in California who are looking to verify their veteran status or service-connected disability. This process not only acknowledges their service and sacrifices but also qualifies them for specific benefits tied to their veteran status or disabilities resulting from their service. Here’s a simple guide to help individuals navigate through the form accurately.

  1. Start by filling out Section 1, which is to be completed by the applicant. Use blue or black ink to provide your first name, middle name, last name, and any suffixes you may have.
  2. Enter your driver license or identification number along with the state of issuance.
  3. Input your date of birth in the format MM/DD/YYYY.
  4. Provide a valid email address and a daytime telephone number where you can be reached.
  5. Fill in your mailing address, including the city, state, and zip code. If your residence address is different from your mailing address, ensure to provide that as well in the designated space.
  6. Move to Section 2, which is the applicant's certification. Read the certification carefully. If you agree and certify the statement to be true, sign and date this section. This certifies that you have served and received an honorable discharge, or were mobilized for federal active duty as a Guard or Reserve component member.
  7. Leave Section 3 and Sections 4 & 5 (if applicable), as these parts are to be completed by an authorized County Veterans Service Office (CVSO) employee, officer, or designee. They will verify your documentation and eligibility for the benefits you're applying for.
  8. Once the entire form is filled out, it must be submitted in person to the Department of Motor Vehicles (DMV) along with an application for a driver license or identification card, as stated in the instructions under Section 3. Remember, all requirements must be met before the issuance of a driver license or identification card with the veteran designation.
  9. If applying for a disabled veteran license plate, ensure that Sections 4 & 5 are completed by a County Veterans Service Office representative. You may need to submit this form and any other required documentation in person or by mail, depending on the specific instructions provided.
  10. Finally, note the additional $5 fee for the veteran designation on your driver license or identification card. This fee is apart from any other fees that may be associated with your application.

After submitting the form, the DMV will process your application. Once approved, you will receive your new driver license or identification card with the veteran designation, or your disabled veteran license plates. This process not only honors your service but also helps in securing the benefits you deserve. For more detailed information or any further assistance, visit the California DMV's official website or contact the nearest County Veterans Service Office.

Important Details about Vsd 001

What is the VSD 001 form used for?

The VSD 001 form is used by veterans in California to verify their veteran status and/or service-connected disability. This verification is necessary for applying for a driver license or identification card that includes a veteran designation on the card’s face. Additionally, this form is utilized for disabled veterans applying for special license plates that acknowledge their service and disability status.

Who needs to complete the VSD 001 form?

Any veteran residing in California seeking to have their veteran status or service-connected disability acknowledged on their driver license or ID card needs to complete the VSD 001 form. Disabled veterans who wish to obtain disabled veteran license plates also need to complete this form.

What sections are included in the VSD 001 form?

The VSD 001 form consists of five main sections. Section 1 is for the applicant's information, Section 2 for applicant certification, Section 3 for verification by a County Veterans Service Office (CVSO) representative, and Section 4 is a disabled veteran certification for license plates. Section 5 involves additional certification by a CVSO representative if applying for disabled veteran license plates.

Where can I submit the completed VSD 001 form?

After completion, 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. Please note that all requirements outlined in the form must be met before a veteran designation can be issued.

Is there a fee associated with the veteran designation on the DMV issued ID or driver’s license?

Yes, in addition to any other applicable fees, there is a $5 fee that must be paid for the veteran designation on a California driver license or identification card.

How do I certify my service-connected disability with the VSD 001 form?

To certify a service-connected disability, you must complete the relevant sections of the VSD 001 form and provide it to an authorized County Veterans Service Office (CVSO) employee, officer, or designee. They will review the documentation and confirm whether the qualifications for a service-connected disability, as stipulated in the form, are met.

Can the VSD 001 form be submitted by mail?

If the form is being submitted for an application for disabled veteran license plates only, it may be submitted in person or by mail. For more information on this process, including where to mail the form, please visit the California DMV website.

Common mistakes

When filling out the VSD 001 form for the State of California Veteran Status and Service-Connected Disability Verification, individuals often make several common mistakes that can result in delays or issues with their submission. One prevalent error is not using blue or black ink as indicated in the instructions. This may seem trivial, but adherence to these guidelines is crucial for the legibility and processing of the document.

Another mistake involves the section requiring the applicant's signature under penalty of perjury, affirming that the provided information is true and correct. Applicants sometimes overlook the importance of this certification, neglecting to sign or date the form. This oversight can render the application incomplete, stalling the verification process.

Incorrect or incomplete information related to one's service often complicates the verification process. Not accurately detailing the nature of discharge or failing to mention service in the Guard or Reserve components when mobilized for federal active duty are examples. Such omissions or inaccuracies can lead to unnecessary back-and-forths with the County Veterans Service Office (CVSO), delaying or even jeopardizing the verification.

Failure to include sufficient contact information, such as a daytime telephone number or email address, is also a misstep. This information is vital for the CVSO to reach out if there are any questions or additional documentation needed. Absence of clear contact details can significantly slow down the procedure.

Many applicants do not fully understand the distinction between the mailing address and the residence address. Some mistakenly write the same address for both, or even worse, leave the residence address section blank if it differs from the mailing address. This can cause confusion and potentially delay the process, especially if correspondence or verification documents need to be sent directly to the applicant’s home.

Often overlooked is the requirement to submit the form in person to the Department of Motor Vehicles (DMV) along with an application for a driver license or identification card. Some applicants mistakenly believe that submission via mail or online is sufficient. This specific requirement is designed to ensure that all necessary checks and verifications can be completed efficiently, and failing to do so can lead to significant delays.

The section related to the disabled veteran certification for license plates also frequently results in errors. Applicants sometimes fail to provide adequate documentation that supports their claim of disability, as defined by the United States Department of Veterans Affairs or the specified criteria in the form. This lack of proper documentation can hinder or void the application for disabled veteran license plates.

In addition, a minor but crucial detail often missed is the payment of the $5 fee for the veteran designation on the driver license or identification card. Neglecting this step can stop the entire application process, as this fee is mandatory for the issuance of the veteran designation.

Lastly, applicants sometimes forget to check if all information is consistent across all sections of the form and with their other identification documentation. Inconsistencies in name spelling, date of birth, or discrepancies in reported service details can raise questions and halt the verification process. Ensuring all information is accurate and consistent is essential for a smooth and swift verification process.

Documents used along the form

When applying for veteran status and service-connected disability verification in California using the VSD 001 form, applicants often need to submit additional documents to support their application. These documents are crucial for verifying the details provided in the main form and for ensuring that all legal and regulatory requirements are met. Below is a summary of four other forms and documents commonly used alongside the VSD 001 form. Each serves a unique but complementary purpose in the process.

  • DD Form 214 - Certificate of Release or Discharge from Active Duty: This document is essential for veterans applying for any benefits. It provides a comprehensive overview of a service member's career, including the reason for discharge, the last duty assignment, and the awards received. It's the key piece of evidence for proving military service and conditions of discharge.
  • Medical Records: For disabled veterans, presenting medical records that detail the injury or disease incurred during service is necessary. These records support the disabled veteran certification section of the VSD 001 form, clarifying the nature of the disability and its connection to service.
  • Proof of Identity: A valid proof of identity, such as a state-issued driver's license or identification card, is required. This ensures that the veteran's personal details on the VSD 001 form match official records, helping to prevent identity theft and fraud.
  • Application for Disabled Veteran License Plates (if applicable): For those seeking to obtain disabled veteran license plates, a separate application form must be submitted alongside the VSD 001. This form is essential for verifying eligibility for the specialized license plates designed for disabled veterans.

Together, these documents complement the VSD 001 form, each playing a pivotal role in substantiating the applicant's claims and ensuring that the benefits and recognitions sought are justly awarded. It is imperative for applicants to carefully compile and review these documents to ensure a smooth process in acquiring veteran status, service-connected disability verification, or other related benefits.

Similar forms

The DD Form 214, known as the Certificate of Release or Discharge from Active Duty, closely mirrors the VSD 001 in its function of verifying a veteran's military service. Both documents serve as official records; the DD Form 214 provides comprehensive details about a service member's time in the military, including the nature of discharge, which is crucial for the VSD 001’s verification process related to veteran status and service-connected disabilities. While the VSD 001 is used primarily within the California Department of Veterans Affairs, the DD Form 214 is utilized nationwide for various benefits and services eligibility determinations.

The Application for Veterans' Preference (SF-15) is similar to the VSD 001 in assisting veterans in obtaining benefits tied to their service. Just like the VSD 001 verifies veteran status and service-connected disabilities for state-level benefits, the SF-15 is used to apply for federal employment benefits under the Veterans' Preference Act. Both forms require the veteran to provide substantiating evidence of their service and, if applicable, the nature of their discharge to secure the intended benefits.

The VA Form 21-526EZ, Application for Disability Compensation and Related Compensation Benefits, shares similarities with the VSD 001 in terms of helping veterans with service-connected disabilities. While the VSD 001 focuses on state-level identification and benefits, the VA Form 21-526EZ is used to apply for federal disability benefits through the Department of Veterans Affairs. Both require detailed information regarding the veteran's service and medical evidence of a service-connected disability.

The Disabled Parking Placard or Plates Application (REG 195) within California also aligns with the purposes of the VSD 001, specifically its section related to disabled veteran license plates. Each document is designed to verify a disability that stems from military service for the purpose of granting special vehicle identification and privileges. However, the REG 195 extends to a broader audience with disabilities, while the VSD 001 is exclusively for veterans.

The Military Veteran License Plate Application is akin to the VSD 001 in that it also serves veterans wishing to display recognition of their service on their personal vehicles. While the VSD 001 encompasses a broader scope of service verification and disability confirmation for various benefits, including but not limited to, license plate designation, specific veteran license plate applications focus primarily on the acquisition of plates that honor the veteran's service.

The VA Form 10-10EZ, Application for Health Benefits, shares its goal with the VSD 001 by facilitating veterans' access to benefits due to their service. Although focusing on healthcare benefits specifically, the VA Form 10-10EZ, like the VSD 001, requires veterans to provide personal identification and military service information to obtain deserved benefits. Both forms act as gateways to critical services and recognitions offered to veterans.

The Request for Copy of DD Form 214, SF-180, parallels the VSD 001 in its utility for veterans needing to obtain official military service records. The VSD 001 relies on accurate service documentation for the verification process, which can be obtained through the SF-180. Both documents are crucial for veterans to access services, benefits, and recognitions they are eligible for based on their military service.

The Application for Correction of Military Record (DD Form 149) offers a remedy for errors or injustices in military records, which may directly affect the information required in the VSD 001 form. By correcting service records, veterans ensure the accuracy of the data used for determining eligibility for benefits, including those verified by the VSD 001. The interplay between accurate service records and eligibility for benefits underscores the importance of both forms in safeguarding veterans' rights.

The Claim for Standard Government Headstone or Marker (VA Form 40-1330) is indirectly related to the VSD 001 through its role in honoring veterans' service posthumously. Both forms recognize and verify military service, albeit for different purposes – the VSD 001 for living benefits and identifications, and the VA Form 40-1330 for memorialization in national cemeteries. Each serves to acknowledge the sacrifice and commitment of veterans in distinct but meaningful ways.

The Pre-Need Determination of Eligibility for Burial in a VA National Cemetery (VA Form 40-10007) similarly compliments the VSD 001 by providing a means to honor the service of veterans. While the VSD 001 facilitates access to benefits for veterans while living, the Pre-Need determination ensures that their service is recognized in perpetuity, providing peace of mind to veterans and their families about future memorialization. Both documents reflect the continuum of respect and recognition afforded to those who have served in the military.

Dos and Don'ts

When completing the VSD 001 form for verifying veteran status and/or service-connected disability in the State of California, it's crucial to follow proper guidelines to ensure accuracy and compliance. Here are some key do's and don'ts to bear in mind:

Do:
  • Use blue or black ink: This ensures that the form is legible and that all information can be accurately recorded and recognized.
  • Fill out all required fields: Completing every section applicable to you is necessary for the processing of your application. Leaving fields blank may delay verification.
  • Review your information for accuracy: Before submitting the form, double-check every entry for correctness. Incorrect or outdated information can lead to unnecessary complications.
  • Sign and date the form: Your signature is required to validate the information provided. Make sure to sign in the designated area and fill in the current date.
Don't:
  • Use pencil or non-standard ink colors: This can make your application difficult to read, or worse, lead to processing errors.
  • Sign the form without reading the certification statement: Understanding what you're certifying is crucial, as it involves legal declarations under the penalty of perjury.
  • Forget to include supporting documentation: If the form requires additional documents for verification, ensure they are complete and attached when you submit.
  • Alter any part of the form without authorization: Making unauthorized changes can invalidate your application or delay processing times. If an error is made, it's best to start with a new form.

By adhering to these guidelines, applicants can help ensure that their verification process is smooth, efficient, and free of unnecessary setbacks.

Misconceptions

There are several misconceptions surrounding the VSD-001 form, often leading to confusion about its use and requirements. Understanding these misconceptions can help applicants accurately complete the form and ensure they meet all necessary criteria for veteran status and/or service-connected disability verification in California.

  • The VSD-001 form is only for veterans seeking driver's licenses. In fact, this form can be used by veterans to apply for a driver license or identification card with a veteran designation on the face of the card. Additionally, it serves those applying for disabled veteran license plates, verifying their service-connected disabilities for these specific DMV services.

  • Any veteran can sign up for benefits using the VSD-001 form. The reality is that this form is specifically designed for verifying veteran status and/or service-connected disabilities for DMV identification purposes. It's not a general application for all veteran benefits. Veterans must 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 to qualify.

  • The form can be submitted online or via mail by the applicant. This 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 requires authentication from the County Veterans Service Office (CVSO) before being presented to the DMV.

  • Verification by the County Veterans Service Office is optional. Actually, section 3 of the form must be completed by an authorized County Veterans Service Office employee, officer, or designee. This step is obligatory and ensures that the veteran's documents are reviewed, and their qualifications for the benefits requested are verified under the penalty of perjury.

  • The VSD-001 form automatically grants disabled veteran license plates upon submission. Completion and submission of the VSD-001 form are just parts of the application process for disabled veteran license plates. The applicant must also meet specific disability criteria as outlined in the form, such as a disability rated at 100% by the United States Department of Veterans Affairs or having lost, or lost use of, one or more limbs. Final approval is subject to the review and certification of the applicant's qualifications by the County Veterans Service Office and the DMV.

Understanding these misconceptions can help in accurately navigating the process for requesting veteran status designation or service-connected disability benefits related to California DMV services.

Key takeaways

The VSD 001 form is an essential document for veterans in California seeking to verify their veteran status and/or service-connected disability. Understanding how to properly fill out and utilize this form is crucial for accessing certain benefits and recognitions offered by the state to its veterans. Below are seven key takeaways to guide you through this process:

  • Ensure all sections required by the applicant are completed using blue or black ink to maintain clarity and legibility.
  • The applicant must provide personal information accurately, including their full name, driver license or identification number, state of issuance, date of birth, email address, and contact numbers. Additionally, both mailing and residence addresses must be clearly stated if they differ.
  • Section 2 of the form requires the applicant to certify, under penalty of perjury, their service details and the nature of their discharge from the United States uniformed services. This declaration is fundamental for the verification process.
  • Applicant authorization for County Veterans Service Office (CVSO) employees, officers, and designees to verify the submitted documents is crucial. This step demonstrates the applicant's consent for the necessary background checks and validations.
  • This form, combined with an application for a driver license or identification card, must be submitted in person to the Department of Motor Vehicles (DMV). It's important to note the requirement for in-person submission as part of the compliance with California Vehicle Code §12811 (c)(5).
  • A $5 fee is associated with the veteran designation on the driver license or identification card issued by the DMV. Applicants should be prepared to cover this cost in addition to any other applicable fees.
  • For those applying for disabled veteran license plates, additional certification in Section 4 of the form by an authorized County Veterans Service Office employee, officer, or designee is required. This section specifically addresses the nature and extent of the veteran's disability and is a crucial part of the application for special license plates intended for disabled veterans.

Accessing veteran benefits and recognitions through the VSD 001 form is a process that demands attention to detail and adherence to specific instructions. By following the outlined steps and understanding the form's requirements, veterans can more easily navigate the process, ensuring they receive the benefits and recognitions they are entitled to by virtue of their service and sacrifices.

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