San Bernardino County Veteran's ID Card Application

San Bernardino County

Veteran's ID Card Application

In addition to this application, please provide a certified copy of a Form DD214. If the veteran does not have a certified copy, an original can be brought into a County VA office for certification (see locations below). DO NOT MAIL ORIGINAL FORMS. To obtain a copy of a DD214, visit In the absence of a DD214, County VA may be able to verify service. APPLICANTS MUST QUALIFY AS AN HONORABLY DISCHARGED VETERAN AS DEFINIED BY TITLE 38 OF THE U.S. FEDERAL CODE* TO BE ISSUED A SAN BERNARDINO COUNTY VETERAN ID CARD.

Please type or print.

Veteran Name:

SSN:

Address:

Date of Birth:

City:

Zip Code:

Phone#:

Email Address:

Branch of Service:

Service#:

Entry Date:

Discharge Date:

During which of the following periods did you serve? (Check all that apply)

WWII

Korea

Vietnam

Gulf War

OEF-OIF/GWOT/New Dawn

Peacetime

By signing below, the veteran acknowledges the following:

The San Bernardino County Veterans Affairs Veteran's ID Card is for the express purpose of participation in the County of San Bernardino's Veteran-Friendly Business program. The ID card is not an officially-issued government ID for any other purpose. Each business and/or store location is responsible for determining the terms and conditions of their participation. Participation may vary. The ID card is issued as a courtesy to San Bernardino County veterans to show appreciation for their honorable military service.

Signature:

Date:

Once this form is completed, bring it and your Form DD-214 to one of the offices listed below. Please call the office in advance to verify that ID cards are being issued the day you plan to visit.

All veterans applying for a County Veteran ID Card will be interviewed for VA benefits eligibility prior to card issuance.

San Bernardino County Veterans Affairs 222 W. Hospitality Ln., 3rd Floor San Bernardino, CA 92415-0470 Hours: Monday - Friday 8:00am-4:00pm Phone: (909) 382-3290

San Bernardino County Veterans Affairs 15900 Smoke Tree St. Hesperia, CA 92345 Hours: Monday-Thursday 8:00am-4:00pm

Every Other Friday 8:00am-4:00pm Phone: (760) 995-8010

San Bernardino County Veterans Affairs 8575 Haven Ave Rancho Cucamonga, CA 91730 Hours: Monday - Thursday 8:00am-3:00pm Phone: (909) 948-6470

* Title 38, US Code, Section 101, Paragraph 2: "The term 'veteran' means a person who served in the active military, naval, or air service, and who was discharged or released therefrom under conditions other than dishonorable."

County Use Only. VetPro#: Photo File#:

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