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Get GA DS-516 2014-2021

DS-516 10/16/14 Previous versions are obsolete and may not be used. No Normal DL/ID Fee Applies This is to certify 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. Commissioner GDVS Name of GDVS Representative Office Address. CERTIFICATE OF ELIGIBILITY FOR VETERANS DRIVER S LICENSE/IDENTIFICATION CARD INSTRUCTIONS This application is for a Veteran or Disabled Veteran Driver s License or State of Georgia Identification Card as provided for in Chapter 5 of Title 40 of the Official Code of Georgia Annotated* PART I Veteran and/or spouse must complete and sign it in the presence of a representative of the Georgia Department of Veterans Service GDVS. PART II To be completed by GDVS* Official records must be presented to support residency and service claims. Take completed form to the Department of Driver Services DDS Customer Service Center. In addition to identification verification DDS may review the documentation presented to GDVS in obtaining the certification* PART I Check the appropriate box I am a veteran and have been a resident of the State of Georgia for 2 or more consecutive years prior to the date of I am a disabled veteran and have been a resident of the State I am the lawful spouse of the disabled veteran identified below. I am the surviving spouse of a deceased veteran and I have not remarried* Prior to death the identified deceased veteran was a resident of the State of Georgia for 2 or more consecutive years prior to the date of this application* Applicant First Name Deceased or Disabled Veteran s Information Middle Current Address Street City Last Name State Zip Current GA Driver s License No* SVC Branch of Service Separation Date Type of Discharge State of Birth Legal Residence at Time of Entry on Active Duty Street Date of Death mm/dd/yy Active Duty Start Date Date of Birth mm/dd/yy SSN CERTIFICATION The information in PART I has been verified from the following official records Supporting Document Dates of Residence From To Active duty includes wartime service Yes Free DL/ID Card I certify the information provided by me on this application is true and correct. Applicant s Signature Date State and federal law provide severe penalties to include fines imprisonment or both for the willful submission of any false statement or evidence of a material fact. CERTIFICATE OF ELIGIBILITY FOR VETERANS DRIVER S LICENSE/IDENTIFICATION CARD INSTRUCTIONS This application is for a Veteran or Disabled Veteran Driver s License or State of Georgia Identification Card as provided for in Chapter 5 of Title 40 of the Official Code of Georgia Annotated* PART I Veteran and/or spouse must complete and sign it in the presence of a representative of the Georgia Department of Veterans Service GDVS. PART II To be completed by GDVS* Official records must be presented to support residency and service claims. PART II To be completed by GDVS* Official records must be presented to support residency and service claims. Take completed form to the Department of Driver Services DDS Customer Service Center. In addition to identification verification DDS may review the documentation presented to GDVS in obtaining the certification* PART I Check the appropriate box I am a veteran and have been a resident of the State of Georgia for 2 or more consecutive years prior to the date of I am a disabled veteran and have been a resident of the State I am the lawful spouse of the disabled veteran identified below. .

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