Send the completed form for validation to a Veterans Services Officer, then submit the validated form with your registration application to DMV.
Medical certification: medical certification is required (the medical professional sections of this form); a disabled plate also requires Form VSA 10.
Boxes: check the appropriate box(es) if you are applying for a sales and use tax exemption, placard displaying the international symbol of access, and/or license plate.
Physician only: may be completed and signed by a Veteran Services physician or the applicant's choice of physician, physician's assistant, nurse practitioner.
Chiropractor or podiatrist only: may be completed and signed by the applicant's choice of chiropractor or podiatrist.
| Question | Answer |
|---|---|
| Form Name | Form VSA 54 |
| Form Length | 1 page |
| Fillable? | Yes |
| Fillable fields | 77 |
| Avg. time to fill out | 13 min |
| Edition | Rev 07/01/2026 |
| Where to send | Veterans Services Officer, 210 Franklin Road, S.W., Roanoke, VA 24011, for validation |
| Matches the agency's file | Yes, checked October 3, 2026 |
| Other names | VSA 54, VSA54, Form VSA 54, VSA 54 certification of disability, Veteran Certification of Disability, Virginia DMV VSA 54 |
| Official source | Form VSA 54 (Rev 07/01/2026), Virginia Department of Motor Vehicles |
Dmv Form Vsa 54 isn’t the one you’re looking for?