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Tes. Send the completed form for validation to Veterans Services Officer, 210 Franklin Road, S.W. Roanoke, VA. 24011. Submit validated form and your registration application to DMV at the address above. VETERAN APPLICANT INFORMATION VETERANS ADMINISTRATION CLAIM NUMBER DISABLED VETERAN NAME CHECK THIS BOX TO REQUEST DISABLED VETERAN (DV) PLATES DISPLAYING THE INTERNATIONAL SYMBOL OF ACCESS (DISABLED SYMBOL). MEDICAL PROFESSIONAL CERTIFICATION IS REQUIRED BELOW. VETERANS ADMINISTRATION USE ONL.

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