BOE-62-A Certificate of Disability (California 69.5)

California's section 69.5 base-year value transfer lets a severely and permanently disabled homeowner move their property tax base to a replacement dwelling once, and BOE-62-A is the physician certification for that claim. It covers the claimant or spouse and asks why the disability requires moving and what the replacement dwelling must provide.

Who completes it

A licensed physician or surgeon of appropriate specialty completes Part I with the patient's name, disability date and description, the medical reasons for the move, replacement dwelling requirements, specialty and signature. The claimant or spouse completes Part II and signs under penalty of perjury.

Submitting and payment

How to submit it
The claimant files the certificate with the county assessor together with the section 69.5 claim (BOE-60-AH); the BOE posts only a watermarked sample, and the actual form comes from the assessor.
Who pays
The Board of Equalization sets no fee and the form does not say who pays the physician.

Good to know

  • The form calls the section 69.5 transfer a one-time tax benefit, and the qualifying disability may be the claimant's or the claimant's spouse's.
  • For transfers on or after April 1, 2021, the Proposition 19 certificate BOE-19-DC largely replaces it, though BOE still lists BOE-62-A as current.
  • The claimant chooses statement A (the dwelling meets the Part I requirements) or B (the move alleviates financial burdens caused by the disability).
  • The completed certificate is not subject to public inspection; the current revision is REV. 06 (05-25).

Get the official form

Download the current version from the source each time; forms change without notice.

Certificate of Disability

Fill it with Vero

If your copy of the form is a fillable PDF, upload it once and Vero Documents fills it from the visit note and the chart, ready for you to review and sign. Download, print, or email the finished form, with the patient’s consent.

How this list is checked

A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms and their requirements change without notice, so check the official page for the current version before you complete one.

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Frequently asked questions

What is the difference between BOE-62-A and BOE-19-DC?

Both are physician Certificates of Disability for base-year value transfers. BOE-62-A supports section 69.5 claims filed with BOE-60-AH under the earlier rules, while BOE-19-DC supports Proposition 19 claims on BOE-19-D for transfers on or after April 1, 2021.

Who can sign California form BOE-62-A?

A licensed physician or surgeon of appropriate specialty, who certifies that in their medical opinion the patient qualifies as severely and permanently disabled under Revenue and Taxation Code section 74.3. The physician also prints their name and daytime phone and states their specialty.

What definition of disability does BOE-62-A use?

Section 74.3: a physical disability or impairment, from birth, accident or disease, including one affecting sight, speech, hearing or use of limbs, that limits employment or substantially limits a major life activity and is diagnosed as permanently affecting the ability to function.