The Ds 516 form is used to request financial information from a foreign government in order to determine if that government has been meeting its obligations under international law. The form can be submitted by either the United States Department of State or the United States Department of Treasury. The form must be accompanied by a cover letter specifying the purpose for which the information is being requested.
| Question | Answer |
|---|---|
| Form Name | Ds 516 Form |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | ds 516, dd form 516, ds 516 form, form 516 |
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.
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____________________________
________________________________________