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SIGNATURE REG 256A REV. 3/2012 WWW DAYTIME PHONE NUMBER Clear Form Print DOCUMENTATION FOR SECTION A ONLY VA Regional Office Name Address City State Zip Code Subject Medical Statement for Service-Connected Disabled Veterans in order to obtain waiver of California Department of Motor Vehicles registration fees. MISCELLANEOUS CERTIFICATIONS STATE OF CALIFORNIA DEPARTMENT OF MOTOR VEHICLES A Public Service Agency Complete the appropriate section s and sign in Section F* LICENSE PLATE/CF NUMBER...