The Application for Certified Copy of DD-214 is the form the Ventura County Clerk-Recorder & Registrar of Voters uses to issue a certified copy of a military discharge record (DD214). Only the people defined in section 6107(b) of the California Government Code may request one, and the applicant signs a sworn statement under penalty of perjury. On FillingPDF you can fill out the form online and download or print the completed PDF; the county publishes the original at the Clerk-Recorder's website, and you submit the application through the office's own channels.
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What is Application for Certified Copy of DD-214 – Ventura County, CA?
The Application for Certified Copy of DD-214 is the Ventura County Clerk-Recorder & Registrar of Voters form that an authorized person uses to request a certified copy of a military discharge record (DD214), including one with a full Social Security number.
The form combines three things on one page: a list of the persons allowed to receive the copy, a Sworn Statement made under penalty of perjury under the laws of the State of California, and a California Acknowledgement block for a notary public. The sworn statement says the applicant is an authorized person as defined in California Government Code 6107(b) and is eligible to receive a certified copy of the military discharge record, or a certified copy that contains a full Social Security number to receive benefits.
Under section 27303.5 of the Government Code, as the form states, these persons may obtain a DD214 official record if a full Social Security number is required to receive benefits.
The application asks for the name of the person listed on the discharge document, the applicant's relationship to that person, the branch of the military, the date discharged, who is requesting the copy and a mailing address. The office printed on the form is at 800 S. Victoria Ave. Ventura, CA 93009-1260, telephone (805) 654-3666. The revision printed on this version is REV 07/01/2025.
This is a county request form for a certified copy of a discharge record. It is not a property tax document.
Who needs to file Application for Certified Copy of DD-214 – Ventura County, CA?
Persons defined in section 6107(b) of the Government Code may receive a certified copy of a military discharge record (DD214), and the form lists four groups. You check the box that describes you:
- The person who is the subject of the military discharge document.
- A family member or legal representative of the person who is the subject of the document.
- A state, county or city office that provides veteran's benefits, upon written request of that office.
- A United States Official, upon written request of that official.
The same persons may obtain a DD214 official record that shows a full Social Security number when it is required to receive benefits, under section 27303.5 of the Government Code.
If you are not the person named on the discharge document, the form asks for that person's name and your relationship to them. The form does not authorize anyone outside these four groups to receive a certified copy, so do not file it if none of the boxes describes you.
When to file Application for Certified Copy of DD-214 – Ventura County, CA
The form prints no filing deadline. You complete it when you need a certified copy of a military discharge record, including a copy that contains a full Social Security number because it is required to receive benefits.
The sworn statement is dated on the day it is sworn, so fill in the date and place when you are ready to sign. If you will send the application by mail, the form says notarization is required, so arrange for a notary public before you mail it. A state, county or city veterans benefits office or a United States Official applies upon a written request of that office or official, so have that request ready before you apply.
Documents you need
- Written request from the office, when a state, county or city office that provides veteran's benefits is the applicant; the form says that office applies upon its written request.
- Written request from the official, when a United States Official is the applicant; the form says the official applies upon written request.
- Notarized California Acknowledgement on the form, when the application is submitted by mail; the notary verifies only the identity of the person who signed, not the truthfulness of the document.
How to fill out Application for Certified Copy of DD-214 – Ventura County, CA
Check your eligibility box
At the top, check the box that describes you: the person who is the subject of the discharge document, a family member or legal representative, a state, county or city veterans benefits office, or a United States Official. The last two apply upon written request.
Print your name in the sworn statement
In the line that begins "I," print your name under (Print Name). You are swearing under penalty of perjury that you are an authorized person under Government Code 6107(b).
Identify the person on the discharge document
Enter the name of the person listed on the military discharge document, and your relationship to that person.
Complete the sworn date and place
Fill in "Sworn this ___ day of _, 20 at" with the day, month and year, then the city and state where you swear the statement.
Enter branch and discharge date
Write the branch of the military and the date discharged in the two lines provided.
Enter requester and mailing address
Under Requested by, enter the name of the person or office making the request. On Mailing address, enter the full address where the certified copy should be sent.
Sign the application
Sign on the Signature line. The acknowledgment states that the signer personally appeared before the notary, so sign as the notary directs.
Have the notary complete the acknowledgment
The notary fills in State of, County of, the date, the notary's name, the name of the individual appearing, signature and seal. The form says notarization is required when you submit by mail.
Review and download the completed PDF
Check every entry against the discharge document, then download or print the completed PDF from FillingPDF and submit it through the channels under How to submit.
How to submit Application for Certified Copy of DD-214 – Ventura County, CA
The form prints the Ventura County Clerk-Recorder & Registrar of Voters office as the contact: 800 S. Victoria Ave. Ventura, CA 93009-1260, telephone (805) 654-3666, website clerkrecorder.venturacounty.gov.
- By mail: the form states that notarization is required when the application is submitted by mail. The notary completes the California Acknowledgement block (state, county, date, the notary's name, the name of the individual appearing, signature and seal) before you send it.
- Questions about other delivery options or fees: the form names no other channel and prints no fee, so call the office at (805) 654-3666 before you send or deliver the application.
Offices and officials requesting a copy on their own authority send the written request described on the form with the application. FillingPDF lets you fill out and download the PDF; submission follows the channels above.
Common mistakes to avoid
- Mailing the application without the California Acknowledgement completed by a notary; the form says notarization is required when it is submitted by mail.
- Applying when none of the four boxes describes you; certified copies may be issued only to persons defined in Government Code section 6107(b).
- Leaving the printed name in the sworn statement blank, or signing without completing the sworn date, city and state.
- Omitting the name of the person listed on the discharge document or your relationship to that person when you are not the subject of the record.
- Leaving out the branch of the military or the date discharged.
- Submitting the form as a benefits office or U.S. Official without the written request of that office or official.
- Leaving the mailing address blank, so the office has nowhere to send the certified copy.
- Expecting the notary to confirm the contents of the application; the acknowledgment verifies only the identity of the signer.
Frequently asked questions
What is the Application for Certified Copy of DD-214?
It is the Ventura County Clerk-Recorder & Registrar of Voters form for requesting a certified copy of a military discharge record (DD214). It includes a sworn statement under penalty of perjury and a notary acknowledgment, and it also covers a copy with a full Social Security number needed for benefits.
Who can request a certified copy of a DD-214 in Ventura County?
Persons defined in Government Code section 6107(b): the person named on the discharge document, a family member or legal representative of that person, a state, county or city veterans benefits office on written request, or a United States Official on written request.
Does the DD-214 application have to be notarized?
Yes, when it is submitted by mail. The form includes a California Acknowledgement block and states that notarization is required for mail submissions. The notary verifies only the identity of the signer, not the truth of the statements.
Can I get a DD-214 copy that shows my full Social Security number?
Yes, if a full Social Security number is required to receive benefits. The form cites section 27303.5 of the Government Code for this and says the applicant swears to being an authorized person under section 6107(b).
Is this a Ventura County property tax form?
No. This application requests a certified copy of a military discharge record from the Clerk-Recorder. It does not deal with property tax, so use it only for a DD-214 request.
Where do I send the Application for Certified Copy of DD-214?
The form prints the Ventura County Clerk-Recorder & Registrar of Voters at 800 S. Victoria Ave. Ventura, CA 93009-1260, telephone (805) 654-3666. It names no other channel, so call the office to confirm how to deliver it. Mailed applications must be notarized.
Can I fill out the DD-214 application online on FillingPDF?
Yes. You can fill out the PDF online on FillingPDF and download or print it. FillingPDF is an independent service and does not file the application or issue the certified copy; you submit it to the Clerk-Recorder yourself.
What if I request the copy for someone else?
Write the name of the person listed on the discharge document and your relationship to them on the form. You must be that person's family member or legal representative, or an office or official applying on written request.
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