Driver Guide



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1.  “Do you consent to be listed in the Donor Registry System as an  
 
organ, eye and tissue donor?”
 
If you say yes your name will automatically be added to the Missouri  
 
Organ and Tissue Donor Registry managed by the Missouri Department  
 
of Health and Senior Services or their agent. The registry is on a secure, 
 
confidential database. Joining the registry means you have legally    
 
documented your decision to save lives by becoming an organ and tissue  
 
donor at the time of your death. No further consent is needed, which  
 
relieves your family of making that decision on your behalf.
2.  “Do you authorize an Organ Donor symbol to be placed on your license 
 
or permit?”
 
If you said yes to be listed in the Donor Registry system you will also be  
 
asked if you would like an optional indicator placed on your document.   If
 
you say “yes” to add the organ donor symbol, a red heart with a green  
 
banner will appear on the front of your instruction permit, driver, or 
 
nondriver license. There is no fee to place the symbol on your instruction  
 
permit, driver or nondriver license, or place your name in the registry. You  
 
may obtain more information regarding the donor registry or register your  
 
decision and enroll on-line at https://www.missouriorgandonor.com/ 
 
odpublicsite/Default.aspx.
•   The back of your license also includes areas for you to write your blood 
type and allergic reactions to medicines.  If you are in a crash, this 
information could help medical personnel save your life.
•  
Blind Awareness Fund 
State law requires the clerk to ask you if you would like to donate $1 to 
the blind awareness fund when you apply for a license, permit, or  
non-driver license.
•  
“J88” Notation for Deaf or Hard of Hearing Applicants 
When you apply for or renew your driver license, nondriver license, or 
instruction permit, you may ask that a “J88” notation be placed on your 
driver license, nondriver license, or instruction permit.  In the event of an 
emergency, this notation will allow law enforcement or emergency and 
medical personnel to readily determine if you are deaf or hard of hearing. 
This will assist in ensuring effective communications with someone who is 
injured and nonresponsive.  In order to obtain the “J88” notation, you must 
request the notation when applying for a license or instruction permit.  
You must have one of the following documents if you wish to have the 
“J88” notation placed on your license or permit:
 
 •   A medical statement from a licensed medical professional, which 
verifies your level of hearing loss.
 
 •   A certified affidavit — The affidavit, a “J88” Notation Request (Form 
4942), can be obtained from any license office.
 
 •   A statement from an approved or authorized agency listed below, 
which verifies your level of hearing loss.
  Agencies or programs authorized to provide documentation that a license  
  or instruction permit applicant is deaf or hearing impaired shall include but  
  not be limited to the following:


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•   The Missouri Commission for the Deaf
    •  
Social Security Administration
 
•   A vocational rehabilitation program
 
•  A federal, state, or county department of health
 
•  An Independent Living Center
  The Director of Revenue shall have authorization to review and determine  
  acceptability of any documentation from an agency or program not listed.
•  
Boater Safety Indicator  
 
If you are a resident of Missouri who has complied with the provisions 
of Section 306.127, RSMo. and possess a current Boating Safety 
Education Card issued by the Missouri State Highway Patrol, you may 
request to obtain a boater identification indicator on your driver license 
or nondriver license.  The Missouri State Highway Patrol will accept the 
indicator on a valid driver license or nondriver license in lieu of carrying 
the separate Boating Safety Education Card.   You must request the new 
indicator and present your valid Boating Safety Education Card at the 
time of application for a new, renewal or duplicate transaction. There will 
be an additional cost of $1.00 added to standard processing fees when 
the boater identification indicator is initially added to a driver license or 
nondriver license document.   
•  
Permanent Disability Indicator 
 
If you are a resident of Missouri who is permanently disabled you may request 
  to have a permanent disability indicator placed on the back of your driver 
  license or nondriver license at the time of application for a new, renewal or 
  duplicate transaction.  To be eligible for the indicator you must submit a 
  Physicians Statement (Form 5294) - Permanent Disability Indicator  
  completed and signed by your physician, physical therapist, occupational  
  therapist licensed under Section 334, RSMo., or other authorized healthcare  
  practitioner.  There will be no additional cost to add the indicator. The  
  standard new, renewal, or duplicate transaction and processing fees will  
 apply.  You are not required by law to obtain a permanent disability  
  indicator on your driver license or non-driver license. The indicator is not  
  determination of eligibility or public benefits.
•  
Veteran Designation 
   
If you are a veteran of the United States Armed Forces you may opt to have a 
“VETERAN” designation placed on the back of your driver or nondriver license 
at the time of application for a new, renewal or duplicate transaction.  To be 
eligible for the designation, you must submit a United States Department of 
Defense discharge document, otherwise known as a DD214 that indicates a 
discharge status of “honorable”, “general”, “under honorable conditions” or 
“general under honorable conditions””, or a United States Uniformed Services  
Identification Card, otherwise known as a DD Form 2, that includes a discharge 
status of “retired” or “reserve retired”.  There will be no additional cost to add  
the indicator.  The standard new, renewal or duplicate transaction and 
processing fees will apply.  You are not required by law to obtain the veteran 
designation.
•  
Driver’s Privacy Protection Act (DPPA) 
The Federal Driver’s Privacy Protection Act requires all states to close the 
personal information contained on all motor vehicle, driver and nondriver 


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