Form VSD-001 at a glance
What it is: VSD-001 (Rev. 1/2021) is the State of California Veteran Status and Service-Connected Disability Verification. This form is not transferable.
Who signs: Sign on the Applicant Signature line and enter the Date. The County Veterans Service Office Representative signs on the Representative's Signature line and enters the Date.
A filled-in Form VSD-001 example: an applicant requests veteran status
How to fill out Form VSD-001, box by box
Applicant name
The applicant completes Section 1, printing using blue or black ink.
Enter the First Name, Middle Name, Last Name and Suffix.
Driver license or identification number and date of birth
Enter the Driver License or Identification Number, the State of Issuance and the Date of Birth (MM/DD/YYYY).
Email address and daytime telephone number
Enter the Email Address and the Daytime Telephone Number.
Mailing address
Enter the Mailing Address, City, State and Zip Code.
Residence address if different from mailing address above
Enter the Residence Address, City, State and Zip Code if different from the mailing address.
Applicant certification
In Section 2, Applicant Certification, the applicant certifies (or declares) under penalty of perjury under the laws of the State of California, that the applicant has 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.
In Section 2, the applicant certifies that the information provided is true and correct, and authorizes County Veterans Service Office (CVSO) employees, officers, and designees to verify the documents presented.
More rules for Form VSD-001
Sections 3 and 5 are to be completed by an authorized County Veterans Service Office employee, officer, or designee.
In person or by mail
This form is submitted in person with an application for a driver license or identification card, or for disabled veteran license plates only
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 (checked October 21, 2026).
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.
Common questions about Form VSD-001
How do I prove I am a disabled veteran?
Section 4, Disabled Veteran Certification for Disabled Veteran License Plates, is to be completed by an authorized County Veterans Service Office employee, officer, or designee. The 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.
Sources
[1] Form VSD-001 (Rev. 1/2021), Veteran Status and Service-Connected Disability Verification, State of California (the Official source link on this page).
