Form BOE-19-DC, Certificate of Disability, is the form the Riverside County Assessor-County Clerk-Recorder uses when a claimant has applied to transfer their property tax base to a replacement primary residence and relies on a severe and permanent disability. It is one of the Riverside County property tax forms, and it has two parts: a licensed physician or surgeon completes Part I, and the claimant, the claimant's spouse or a legal guardian completes Part II. On this page you can fill out the form online on FillingPDF and download or print the completed PDF; the form itself is published by the county.
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What is BOE-19-DC?
Form BOE-19-DC, Certificate of Disability, is the form on which a licensed physician or surgeon certifies that a claimant who has applied to transfer their property tax base to a replacement primary residence has a severe and permanent disability.
The Riverside County Assessor-County Clerk-Recorder issues it. The form states that, to qualify for this tax benefit, a licensed physician or surgeon of appropriate specialty must certify the disability. It quotes the definition of a severely and permanently disabled person from 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 one or more major life activities, and that has been diagnosed as permanently affecting the person's ability to function.
The certificate has two parts. In Part I the physician gives the date and description of the disability, the specific reasons the disability necessitates a move, and the disability-related requirements of a replacement primary residence, including any locational requirements. In Part II the claimant, spouse or legal guardian certifies the purpose of the move under penalty of perjury, by checking either option A or option B. The form is marked as not subject to public inspection.
Who needs to file BOE-19-DC?
The claimant who has applied to transfer their property tax base to a replacement primary residence, and who qualifies on the ground of a severe and permanent disability, needs this certificate.
Two people complete it:
- Part I: a licensed physician or surgeon of appropriate specialty. The claimant cannot complete this part; the form says it must be completed by a physician or surgeon.
- Part II: the claimant, the claimant's spouse, or a legal guardian. The form has separate lines for the name of the claimant and the name of the spouse or legal guardian.
Part II asks for a choice between two certifications. Option A applies when the primary purpose of the move is to satisfy the disability-related requirements identified in Part I. Option B applies when the primary purpose of the move is to alleviate the financial burdens caused by the disability. Check one.
The physician certifies that the patient qualifies as a disabled person under the definition printed on the form. The form does not describe any other group that uses it.
When to file BOE-19-DC
The certificate is needed when a claimant has applied to transfer their property tax base to a replacement primary residence on the ground of disability, because the form states that the claimant has applied and that a physician's certification is required to qualify. No separate due date is printed on the form.
Have the physician complete Part I first. Part II option A refers back to the requirements identified in Part I, so the claimant, spouse or legal guardian should complete Part II only after the physician has finished. For deadlines that apply to the transfer application itself, contact the Riverside County Assessor-County Clerk-Recorder at (951) 955-7006 or check www.rivcoacr.org.
How to fill out BOE-19-DC
Read the disability definition
Review the definition from Revenue and Taxation Code section 74.3 printed at the top of the form. The physician certifies against this definition.
Enter patient and disability details
In Part I, enter the patient's name and the date of disability, then describe the patient's disability. Part I is completed by the physician (please print).
Identify reasons and residence requirements
Identify (1) the specific reasons the disability necessitates a move to the replacement primary residence and (2) the disability-related requirements, including any locational requirements, of that residence.
Add physician specialty and signature
The physician enters their specialty, signs and dates the certification, and prints or types their name and daytime phone number. The signature confirms the patient qualifies as a disabled person under the definition.
Enter claimant and property information
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 option A or option B
Check A if the primary purpose of the move is to satisfy the disability-related requirements in Part I. Check B if the primary purpose is to alleviate the financial burdens caused by the disability.
Complete the option you checked
Under A, describe how the replacement primary residence meets the requirements identified in Part I. Under B, write your explanation on the "Please explain" line.
Sign and add contact details
The claimant, spouse or legal guardian signs the certification under penalty of perjury and enters their printed name, daytime phone number, date and email address.
Review, download and print the PDF
Check that both parts are complete and signed, then download or print the completed PDF from FillingPDF in black ink on 8 1/2" x 11" white paper, and deliver it as described under How to submit.
How to submit BOE-19-DC
Form BOE-19-DC is delivered by mail or in person to your local Riverside County Assessor-County Clerk-Recorder office. The county's forms page states that its forms do not allow online submission.
- By mail or in person: deliver the completed, signed form to your local Assessor-County Clerk-Recorder office. The form header prints the office's mailing address as PO Box 751, Riverside, CA 92502-0751.
- Questions: call (951) 955-7006 or visit www.rivcoacr.org to confirm where to deliver the form for your situation.
The county requires its forms to be printed in black ink on 8 1/2" x 11" white paper. Both the physician and the claimant, spouse or legal guardian must sign before delivery. FillingPDF lets you fill out and download the PDF; submission follows the county's channels above.
Common mistakes to avoid
- Completing Part I yourself as the claimant; the form says Part I must be completed by a licensed physician or surgeon.
- Leaving the physician's reasons for the move and the disability-related requirements blank, when Part II option A relies on the requirements identified in Part I.
- Checking option A without describing how the replacement primary residence meets the disability-related requirements identified in Part I.
- Checking option B without completing the "Please explain" line.
- Checking both A and B, or neither; Part II says to check A or B.
- Submitting the form without the physician's signature and date, or without the signature of the claimant, spouse or legal guardian.
- Printing the form on colored paper or in a color other than black ink; the county requires black ink on 8 1/2" x 11" white paper.
- Trying to submit the form online; the county's forms must be delivered by mail or in person.
Frequently asked questions
What is Form BOE-19-DC?
Form BOE-19-DC is the Certificate of Disability issued by the Riverside County Assessor-County Clerk-Recorder. A licensed physician or surgeon uses it to certify that a claimant's disability is severe and permanent, for a claimant who has applied to transfer their property tax base to a replacement primary residence.
Who completes the Certificate of Disability?
Two people do. A licensed physician or surgeon of appropriate specialty completes Part I. The claimant, the claimant's spouse or a legal guardian completes Part II. The claimant cannot fill in the physician's part.
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 identified in Part I, and requires a description of how the new residence meets them. Option B certifies that the primary purpose is to alleviate the financial burdens caused by the disability, with an explanation.
How does the form define a severely and permanently disabled person?
The form quotes Revenue and Taxation Code section 74.3: a person with a physical disability or impairment, from birth, accident or disease, that results in a functional limitation as to employment or substantially limits a major life activity, and has been diagnosed as permanently affecting the ability to function.
Can I fill out Form BOE-19-DC online?
You can complete the PDF online on FillingPDF and download or print it. The county does not accept online submission of its forms, so you deliver the signed form by mail or in person to your local Assessor-County Clerk-Recorder office. FillingPDF does not file it for you.
Where do I send the Certificate of Disability?
Deliver it by mail or in person to your local Riverside County Assessor-County Clerk-Recorder office. The form header lists PO Box 751, Riverside, CA 92502-0751 and (951) 955-7006; call to confirm where to deliver it for your case.
Is the Certificate of Disability open to public inspection?
No. The form is marked "This document is not subject to public inspection." It still contains personal and medical information, so complete it carefully and deliver it only through the county's channels.
What paper and ink does Riverside County require?
The county's forms page says all forms must be printed in black ink on 8 1/2" x 11" white paper. Print the completed Form BOE-19-DC that way before the physician and the claimant sign it.
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