Content Overview
The VSD 001 form is an essential document for veterans in California seeking to verify their military service and obtain benefits related to their veteran status. This form serves multiple purposes, including requesting verification of veteran status and service-connected disabilities. Applicants must complete the first section with personal information, such as their name, date of birth, and contact details. In the second section, the applicant certifies their service, confirming they have an honorable discharge or were mobilized for federal active duty. The form also requires the endorsement of a representative from the County Veterans Service Office, who verifies the applicant's eligibility based on the documentation provided. For those applying for a driver license or identification card featuring a veteran designation, the form must be submitted in person to the Department of Motor Vehicles, accompanied by a fee. Additionally, if the applicant is a disabled veteran, the form includes a section specifically for certifying their disability status, which can lead to the issuance of disabled veteran license plates. Understanding the VSD 001 form is crucial for veterans to navigate the benefits available to them and ensure they meet all necessary requirements.
Key takeaways
Filling out the VSD 001 form is a crucial step for veterans seeking verification of their status and service-connected disability. Here are some key takeaways to consider:
- Accurate Information: Ensure that all personal details, including your name, date of birth, and contact information, are filled out accurately using blue or black ink.
- Certification Requirement: The applicant must certify their service and discharge status under penalty of perjury. This includes an authorization for the County Veterans Service Office to verify submitted documents.
- Submission Process: This form must be submitted in person to the Department of Motor Vehicles along with the application for a driver license or identification card. A $5 fee is also required for the veteran designation.
- Disabled Veteran License Plates: If applying for disabled veteran license plates, the form can be submitted either in person or by mail, along with proof of identity and other necessary documentation.
Guide to Writing Vsd 001
After gathering the necessary information, you can proceed to fill out the VSD 001 form. This form is essential for verifying veteran status and service-connected disabilities. Make sure to complete each section accurately before submitting it.
- Begin with Section 1. Write your first name, middle name, last name, and suffix. Use blue or black ink.
- Enter your driver license or identification number and the state of issuance.
- Provide 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 is different from your mailing address, fill in the residence address details, including city, state, and ZIP code.
- In Section 2, read the certification statement carefully. Sign and date the form where indicated.
- Section 3 will be filled out by a County Veterans Service Office representative. Ensure they complete their part accurately.
- If applicable, Section 4 must be completed by an authorized representative to certify your status as a disabled veteran.
- Finally, review all sections for completeness and accuracy before submitting the form in person to the DMV along with any required application.
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Form Preview 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 |
Documents used along the form
The VSD 001 form is an essential document for veterans in California seeking verification of their status or service-connected disability. However, it is often accompanied by other forms and documents that help streamline the process and provide necessary information. Below is a list of commonly used forms that complement the VSD 001.
- DD Form 214: This is the Certificate of Release or Discharge from Active Duty. It provides essential information about a veteran's military service, including dates of service and discharge status.
- VA Disability Rating Decision Letter: This document outlines the veteran's disability rating assigned by the Department of Veterans Affairs. It is crucial for verifying eligibility for certain benefits and services.
- Application for Veteran's Benefits (VA Form 21-526EZ): This form is used to apply for disability compensation and other benefits from the VA. It provides detailed information about the veteran's service and medical history.
- California DMV Application for Driver License or Identification Card: This form is required when applying for a driver's license or ID card. It must be submitted alongside the VSD 001 to obtain a veteran designation on the card.
- Proof of Residency: Documents such as utility bills or lease agreements may be required to establish the applicant's residency in California, which is necessary for processing the VSD 001 form.
- Power of Attorney (POA): If a veteran is unable to complete the application process themselves, a POA may be used to designate another person to act on their behalf.
- Medical Records: In some cases, medical documentation may be necessary to support claims of service-connected disabilities, particularly if the veteran is applying for additional benefits.
- California Motor Vehicle Bill of Sale: This form is vital for recording the transfer of vehicle ownership in California. For more information, you can visit toptemplates.info/bill-of-sale/motor-vehicle-bill-of-sale/california-motor-vehicle-bill-of-sale/.
- Veteran Service Organization (VSO) Letter: A letter from a recognized VSO can provide additional support and verification of a veteran's status and service-connected conditions.
Understanding these accompanying forms can greatly enhance the experience of veterans navigating the verification process. Each document plays a crucial role in ensuring that veterans receive the benefits and recognition they deserve. By being well-prepared with the necessary paperwork, veterans can streamline their applications and focus on what truly matters: their well-being and service to the country.