Form BOE-19-DC, Certificate of Disability Proposition 19, is the form on which a licensed physician or surgeon certifies that a claimant's disability is severe and permanent, and the claimant, spouse or legal guardian then states why the move to a replacement primary residence is being made. The Los Angeles County Office of the Assessor lists it among its forms, so it is one of the Los Angeles County property tax forms tied to a request to transfer a property tax base. On this page you can fill out the form online on FillingPDF and download or print the completed PDF. The original PDF is published at the agency.
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What is BOE-19-DC?
Form BOE-19-DC, Certificate of Disability Proposition 19, is the two-part certificate used when a claimant has applied to transfer their property tax base to a replacement primary residence and must show a severe and permanent disability. A physician completes Part I; the claimant, spouse or legal guardian completes Part II.
The form states the requirement itself: to qualify for this tax benefit, a licensed physician or surgeon of appropriate specialty must certify that the claimant's disability is severe and permanent. It quotes the definition from Revenue and Taxation Code section 74.3, which covers a physical disability or impairment, from birth or by accident or disease, that results in a functional limitation as to employment or substantially limits one or more major life activities, and that has been diagnosed as permanently affecting the person's ability to function, including disabilities affecting sight, speech, hearing, or the use of any limbs.
Part I records the patient's name, the date of disability, a description of the disability, the reasons the disability necessitates a move, and the disability-related requirements of the replacement residence, including any locational requirements. Part II asks the claimant to certify under penalty of perjury either that the move is made to satisfy those requirements (option A) or to alleviate the financial burdens caused by the disability (option B).
The certificate is not the claim. The Office of the Assessor's forms list names a separate claim, BOE-19-D, Claim for Transfer of Base Year Value to Replacement Primary Residence for Severely Disabled Persons. The same list also shows an earlier-numbered Certificate of Disability, BOE-62-A / OWN-107. The form is marked "This document is not subject to public inspection."
Who needs to file BOE-19-DC?
The main group is a claimant who has applied to transfer their property tax base to a replacement primary residence and relies on a severe and permanent disability. For that claimant, two people complete the form.
- A licensed physician or surgeon of appropriate specialty completes Part I. The physician prints the patient's name, the date of disability, the description of the disability, the reasons for the move and the disability-related requirements of the replacement residence. The physician also states a specialty, certifies that the patient qualifies under the definition printed on the form, and signs.
- The claimant, the claimant's spouse, or a legal guardian completes Part II with the property address and Assessor's Parcel/ID number, chooses certification A or B, and signs under penalty of perjury.
If you choose option A, Part I must already be completed by the physician or surgeon, because your description of the replacement residence responds to the requirements identified there. The form says a spouse or legal guardian may sign Part II in the claimant's place.
The form does not say who else may use it. A claimant who does not have a severe and permanent disability as defined on the form is outside what the certificate certifies.
When to file BOE-19-DC
The form is completed when a claimant has applied to transfer their property tax base to a replacement primary residence, because it states that the physician certification is required to qualify for that benefit. No separate due date is printed on it.
Complete the parts in order. The physician fills in Part I first, since option A in Part II depends on the disability-related requirements identified there. The claimant, spouse or legal guardian then completes Part II. Both parts must be signed and dated. The form prints no processing time. For any deadline attached to the claim itself, check the Los Angeles County Office of the Assessor's forms page at https://assessor.lacounty.gov/forms or the claim's own instructions.
How to fill out BOE-19-DC
Have the physician start Part I
Part I is marked "to be completed by a physician (please print)." Enter the patient's name and the date of disability.
Describe the disability
In Part I, the physician writes a description of the patient's disability, following the definition from Revenue and Taxation Code section 74.3 printed at the top of the form.
Identify reasons and requirements
The physician states (1) the specific reasons the disability necessitates a move to the replacement primary residence and (2) the disability-related requirements of that residence, including any locational requirements.
Complete the physician certification
Enter the physician's specialty and sign and date the CERTIFICATION OF DISABILITY. Print or type the physician or surgeon's name and the daytime phone number.
Enter claimant and property details
In Part II, enter the name of the claimant, the name of the spouse or legal guardian, the property address and the Assessor's Parcel/ID number.
Choose certification A or B
Check A to describe how the replacement residence meets the requirements identified in Part I and certify that the move's primary purpose is to satisfy them. Check B to certify that the primary purpose is to alleviate the financial burdens caused by the disability.
Explain if you chose B
Under option B, write your explanation on the "Please explain" line.
Sign Part II
The claimant, spouse or legal guardian signs under penalty of perjury and enters the printed name, daytime phone number, date and email address.
Review, sign and download the PDF
Check that both parts are complete, signed and dated by the correct people. Download or print the completed PDF from FillingPDF and deliver it as described under How to submit.
How to submit BOE-19-DC
The form prints no mailing address, portal or appointment rule, so it follows whatever channel the Los Angeles County Office of the Assessor uses for the base-transfer claim it supports.
- Agency forms page: the Office of the Assessor lists BOE-19-DC, with its other forms, at https://assessor.lacounty.gov/forms.
- Handling: the form is marked "This document is not subject to public inspection," and the physician and the claimant each sign their own part.
Confirm the delivery method for your claim with the Office of the Assessor before sending. FillingPDF lets you fill out and download the PDF; submission follows the agency's channels.
Common mistakes to avoid
- Having the claimant complete Part I; the form says Part I is to be completed by a physician or surgeon.
- Choosing option A in Part II before Part I is completed, when A relies on the disability-related requirements identified in Part I.
- Leaving the physician's specialty, signature, date or daytime phone number blank in Part I.
- Describing the disability but not identifying the specific reasons it necessitates a move and the disability-related requirements, including any locational requirements.
- Checking neither A nor B in Part II, or leaving A.1 without a description of how the replacement residence meets the requirements from Part I.
- Checking B without completing the "Please explain" line.
- Signing Part II without the printed name, daytime phone number, date or email address the form requests.
- Omitting the property address or Assessor's Parcel/ID number in Part II.
Frequently asked questions
What is Form BOE-19-DC?
Form BOE-19-DC, Certificate of Disability Proposition 19, is the form on which a physician certifies a claimant's severe and permanent disability. The claimant, spouse or legal guardian then certifies the purpose of the move to a replacement primary residence. The Los Angeles County Office of the Assessor lists it among its forms.
Who completes the Certificate of Disability for Proposition 19?
A licensed physician or surgeon of appropriate specialty completes and signs Part I. The claimant, the claimant's spouse or a legal guardian completes and signs Part II. Each part carries its own signature, printed name and daytime phone number.
What is the difference between option A and option B in Part II?
Option A certifies that the primary purpose of the move is to satisfy the disability-related requirements in Part I, and it asks you to describe how the new home meets them. Option B certifies that the primary purpose is to alleviate financial burdens caused by the disability, and it asks you to explain.
How does the form define a severely and permanently disabled person?
It quotes Revenue and Taxation Code section 74.3: a person with a physical disability or impairment that results in a functional limitation as to employment or substantially limits a major life activity, and that is diagnosed as permanently affecting the ability to function.
Is BOE-19-DC the same as the claim form BOE-19-D?
No. BOE-19-DC is the certificate of disability. The Office of the Assessor's forms list names BOE-19-D separately as the Claim for Transfer of Base Year Value to Replacement Primary Residence for Severely Disabled Persons.
Is the Certificate of Disability open to public inspection?
No. The form carries the statement "This document is not subject to public inspection."
Where do I send Form BOE-19-DC?
The form prints no address or portal. The Los Angeles County Office of the Assessor lists it at https://assessor.lacounty.gov/forms; confirm with the Office of the Assessor how to deliver it with your base-transfer claim.
Can I fill out Form BOE-19-DC online?
You can fill out the fillable PDF online on FillingPDF and download or print it. FillingPDF is an independent service and does not file the form with the Los Angeles County Office of the Assessor; delivery follows the agency's channels.
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