Content Overview
Guide to Writing Vsd 001
Filling out the VSD 001 form is an important step in verifying your veteran status and service-connected disability. Make sure to complete each section accurately and provide all necessary information. After you finish, submit the form in person at the Department of Motor Vehicles along with your application for a driver license or identification card.
- Gather Required Information: Collect your personal details, including your first name, middle name, last name, suffix, driver license or identification number, state of issuance, date of birth, email address, daytime telephone number, and mailing address.
- Complete Section 1: Fill in your personal information in the designated fields. Ensure you use blue or black ink.
- Provide Residence Address: If your residence address is different from your mailing address, include that information as well.
- Sign Section 2: Read the certification statement carefully. Sign and date the form to certify the accuracy of the information provided.
- Submit to County Veterans Service Office: Take the completed form to your local County Veterans Service Office. An authorized representative will review your documentation.
- Complete Section 4 (if applicable): If you are applying for disabled veteran license plates, ensure that an authorized representative completes this section, certifying your disability status.
- Final Review: Confirm that all sections have been filled out correctly and that signatures are provided where required.
- Submit to DMV: After completing the form and obtaining any necessary signatures, submit the VSD 001 form along with your application for a driver license or identification card at the DMV. Remember to pay any associated fees.
Document Breakdown
| Fact Name | Details |
|---|---|
| Purpose | The VSD 001 form is used to verify veteran status and service-connected disabilities for California residents seeking a veteran designation on their driver license or identification card. |
| Governing Law | This form is governed by California Vehicle Code § 12811 (c)(5), which outlines the requirements for obtaining a veteran designation on a driver's license or ID. |
| Submission Requirements | The completed form must be submitted in person to the Department of Motor Vehicles (DMV) along with the application for a driver license or ID card. |
| Fee | A $5 fee is required for the issuance of a veteran designation on the driver's license or identification card. |
FAQ
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What is the purpose of the VSD 001 form?
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The VSD 001 form is used in California to verify an individual's veteran status and service-connected disability. This form is essential for veterans seeking to obtain a driver license or identification card that features a veteran designation. It ensures that the applicant meets the necessary qualifications, including having served in the United States uniformed services and received an honorable discharge.
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Who needs to complete the VSD 001 form?
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Any veteran who wishes to obtain a veteran designation on their driver license or identification card must complete the VSD 001 form. Additionally, those who are disabled veterans and wish to apply for disabled veteran license plates also need to fill out this form. It is crucial for applicants to provide accurate information and necessary documentation to support their claims.
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What information is required to complete the VSD 001 form?
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Applicants must provide several key pieces of information, 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)
Furthermore, applicants must certify their veteran status under penalty of perjury, ensuring that the information provided is truthful and accurate.
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How is the VSD 001 form submitted?
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To submit the VSD 001 form, applicants must do so in person at the Department of Motor Vehicles (DMV) when applying for a driver license or identification card. This submission must occur alongside the application for the license or ID card, and all requirements must be met prior to receiving the veteran designation. A fee of $5 is also applicable for this designation.
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What happens after the VSD 001 form is submitted?
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Once the VSD 001 form is submitted, the DMV will review the application along with the accompanying documentation. If everything is in order and the applicant meets the necessary qualifications, the DMV will issue a driver license or identification card with the veteran designation. For disabled veterans applying for specialized license plates, the review process will confirm eligibility based on the disabilities listed in the form.
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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 |