Ds 516 Form PDF Details

In the heart of veterans’ benefits and recognition in Georgia lies the DS-516 form, a crucial document for veterans, honorary veterans, or disabled veterans seeking to obtain a specialized driver's license or identification card. This form serves as a certificate of eligibility, meticulously outlined in Chapter 5 of Title 40 of the Official Code of Georgia Annotated, symbolizing not just a legal requirement but a token of appreciation for the sacrifices made by servicemen and women. The application process requires detailed personal and military service information, including but not limited to the applicant's name, date of birth, branch of service, social security number, service number, and specific details about their service period. Furthermore, it demands proof of consecutive residency in Georgia for at least two years prior to the application, extending eligibility to spouses under certain conditions. The completion and verification of this form stand as a testament to the applicant's honorable service, facilitating access to benefits duly earned. Underlined by the potential penalties for false statements, the process emphasizes integrity and accuracy, ensuring that those who have served the nation are afforded the privileges they rightly deserve. The DS-516 form bridges veterans with their right to recognition, encapsulating their honor, valor, and continued connection to service through a simple, yet profoundly meaningful, piece of documentation.

QuestionAnswer
Form NameDs 516 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesds 516, dd form 516, ds 516 form, form 516

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CERTIFICATE OF ELIGIBILITY

FOR

VETERANS DRIVER'S LICENSE/IDENTIFICATION CARD

PART I - APPLICATION: I hereby apply for a Veterans, Honorary Veterans, or Disabled Veterans Driver's License/Identification Card as provided for in Chapter 5 of Title 40 of the Official Code of Georgia Annotated.

Applicant

Deceased Or Disabled Veteran's Information

Name:__________________________________________

(First) (Middle) (Last)

Residence

Address:________________________________________

(Street and No.)

_______________________________________________

(City)

(State)

(Zip)

Date of Birth:________________Place:________________

 

(Mo. Day Yr.)

(State)

Branch of Service:_________________________________

SSN:_________________SVC#:_____________________

Date of Entry On Active Duty:________________________

Date of Separation:________________________________

Type of Discharge:_________________________________

*Residence At Time of Entry On Active Duty.

________________________________________________

(Street and No.) (City and State)

Current Driver's License No._________________________

Check the appropriate boxes:

I'm a veteran and have been a resident of the State of Georgia for 2 or more consecutive years immediately prior to this date of application.

I'm now the lawful spouse of the above identified disabled veteran.

I'm the surviving spouse of a deceased veteran and I have not remarried since such death.

Name:___________________________________________

(first) (Middle) (Last)

Date of Birth:______________________________________

Date of Death:_____________________________________

Driver's License No.________________________________

Branch of Service:_________________________________

SSN:_________________________SVC#:______________

Date of Entry On Active Duty:_________________________

Date of Separation:_________________________________

Type of Discharge:_________________________________

*Legal Residence At Time of Entry On Active Duty.

________________________________________________

(Street and No.)

(City and State)

*Note: If other than a Georgia address check the appropriate block:

The above identified disabled veteran has been a resident of Georgia for 2 or more consecutive years immediately prior to this date of application.

The above identified deceased veteran was a resident of Georgia for 2 or more consecutive years immediately prior to his death.

PARTII - CERTIFICATION: The information in PARTI has been verified from the following official records:

 

Supporting Documents:

Dates of Residence:

From

To

______________________________________________________________________________________________________

____________________________________________________________________________________________________

Applicant's Certificate - I certify that the foregoing statements made by me on this application are true and correct.

Date:__________________________________ Signature:_______________________________________________________

*Penalty- The law provides severe penalties which include fine or imprisonment or both, for the willful submisson of any statement or evidence of a material fact, knowing it to be false.

Notice to Veteran or spouse: You must complete PARTI and sign it in the presence of a representative of the Georgia Department of Veterans Service, who will then complete PARTII. Official records must be presented to support residency and service claims.

You must present the completed form to any driver license examiner of the Department of Motor Vehicle Safety who is responsible for the issuance of the Veterans License.

In addition to conclusive identification the driver examiner may review the documentation presented to The Department of Veterans Service in obtaining the certification.

DS-516(07-01-04)

This is to certify that the applicant meets the requirements to qualify for the Veterans Driver's License as provided for in Chapter 5 of Title 40 of the Official Code of Georgia Annotated.

___________________________, Director GDVS

By______________________________________

Authorized Representative

Date____________________________________

Office Address____________________________

________________________________________