r Proof of Military Active Duty or Dependent Status (such as photocopy of active duty military or military dependent photo ID , military orders or other documentation
of current military status) - Required for ALL applicants. Note: The vision examination and highway sign recognition test are waived upon proof of status.
r Proof of Identity, Lawful Status, Social Security Number, Residence Address and Legal Name Change (if applicable) - You must submit one or more documents from
each of the dened categories in the acceptable documents list attached. Application for a renewal or duplicate non REAL ID-compliant card requires submission of proof of
identity, proof of Missouri residence address and proof of mailing address. Name change verication may be required if the name on the application differs from the name on
your current Missouri license. Application for a renewal or duplicate REAL ID-compliant card (has star marking) requires submission of proof of: identity, lawful status, Social
Security Number, Missouri residence address (2 documents), mailing address and name change if applicable. Acceptable document lists for a REAL ID-compliant or non REAL
ID-compliant card may also be found on-line at www.dor.mo.gov.
r Appropriate License Fee - Required for all applicants. Payment may be made by a U.S. cashier’s check, money order, traveler’s check, personal check or credit card. Make
check or money order payable to Missouri Department of Revenue. If payment is to be made by credit card complete the credit card information section within the application
form. NOTE: If your driver license is within six months of expiring when the mail-in application is received in our office, the transaction is processed as a renewal.
• Renewal driver license (Age 21-69) Class F or M = $27.00 Class E = $42.00 Class A, B, or C = $52.00
• Renewal driver license (All other ages) Class F or M = $13.50 Class E = $21.00 Class A, B, or C = $26.00
• Duplicate of a 6-year driver license Class F or M = $19.50 Class E = $27.00 Class A, B, or C = $32.00
• Duplicate of a 3-year driver license Class F or M = $13.50 Class E = $21.00 Class A, B, or C = $26.00
(Under 21 or 70 and older)
Please be sure to write your driver license number on your check or money order. If you have marked on the application that you would like to donate to either or both of the
funds, you must add that donation to your fee.
A convenience fee will be charged for credit or debit card transactions.
r Signed Application Form - Complete all parts of this application and review prior to signing. Your physical signature must appear within the signature box on the opposite
page. Digital signatures are not accepted.
r Permanent Disability Indicator - If you are permanently disabled, you may apply for a permanent disability indicator indicating such status to be placed on the back of your
driver or nondriver license. To have the indicator added to your document, you must submit a Physician’s Statement - Permanent Disability Indicator (Form 5294). If your current
license has a permanent disability indicator, you may elect to retain the indicator on your new or renewal document. A new physician’s statement is not required.
r DHH Indicator - If you are deaf or hard of hearing you may ask when applying or renewing your driver license, nondriver license, or instruction permit for the “DHH” notation
to 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 non responsive. In order
to obtain the “DHH” notation, you must request the notation when applying for a license or instruction permit.
r Boater Identification Indicator - If you have been issued a boating safety education card by the Missouri State Water Patrol under Section 306.127, RSMo, you may elect to
have a boater identification indicator placed on the back of your driver license. To have the indicator added to your document, you must submit the control number from your
Boating Safety Education Card and add an additional $1.00 to your transaction.
If your current license has a boater identification indicator, you may elect to retain the indicator on your new or renewal document. There is no additional cost to retain a
previously issued indicator.
r Veteran Indicator - Applicants requesting the “VETERAN” designation must submit one of the following documents to verify veteran status at the time of initial request for
the driver or nondriver license with the new designation: a U.S. Department of Defense discharge document, otherwise known as a DD Form 214, that shows a discharge
status of “honorable” or “general under honorable conditions” that establishes the person’s service in the Armed Forces of the United States; a U.S. Uniformed
Services Identification Card, otherwise known as a DD Form 2, that includes a discharge status of “retired” or “reserve retired” establishing the person’s service
in the Armed Forces of the United States; a U.S. Department of Veterans Affairs photo identification card; or a discharge document WD AGO 53, WD AGO 55, WD AGO 53-55,
NAVPERS 553, NAVMC 78 PD, NAVCG 553, or DD 215 form that shows a discharge status of “honorable” or “general under honorable conditions”.
r Organ Donor Indicator - You are under no obligation to sign up to be an organ and tissue donor. Your response regarding organ and tissue donor status may be shared
directly with the Local Election Authority of the applicant’s county in accordance with the National Voters Registration Act. Your decision to become an organ and tissue donor
is a private one, so an applicant may register privately at www.MissouriOrganDonor.com.
Mail-in Driver License Application and Instructions (Active Duty Military Personnel and Military Dependents Only)
Please read all instructions before completing the form. Your mail-in license application will be processed within 7-10 days from the date it is received in our office.
This form is not for use by Missouri drivers who are currently in the State of Missouri.
This form is also not valid to renew or replace a “valid without photo” (VWP) driver license, except for active duty U.S. military personnel. REAL ID Information
* Requests for issuance of an initial REAL ID-compliant document must be completed in person.
* You may be issued a REAL ID-compliant license by mail if your current license was issued in-person and you were issued a REAL ID-compliant card.
Incomplete applications will not be accepted. You must submit the following:
The completed and signed application form, along with all required supporting documents required may be submitted by mail, fax or may be scanned and sent via email.
Applications submitted without the required supporting documents will not be processed.
Are you deaf or hard of hearing, and wish to add the
“DHH” notation to your driver license?
r Yes r No
Please refer to www.MissouriOrganDonor.com regarding the First Person Consent Organ,
Eye, and Tissue donor registry prior to answering the following questions.
Do you want to donate $1.00 to the organ donor fund?
r Yes r No
Do you consent to be listed in the Donor Registry System as an organ,
eye and tissue donor?
r Yes r No
Do you authorize the Organ Donor symbol to be placed on your license
r Yes r No
License Indicators & Notations
Do you wish to add or retain a boater identification indicator to your driver license? r Yes
Boating Safety Education Control Number _______________
Do you wish to add or retain a Veteran indicator on your driver license? r Yes
If yes, acceptable discharge document must be submitted.
Blindness Awareness Fund
Do you want to donate $1.00 to the Blindness
r Yes r No
Selective Service (Male applicants age 18-26 years of age)
Do you wish to register with the Selective Service? r Yes r No
Do you wish to add or retain a permanent disability
indicator to your driver license?
r Yes r No
Mail to: Driver License Bureau Phone: (573) 526-2407
Attention MIL Fax: (573) 522-8174
P.O. Box 200 E-mail: firstname.lastname@example.org
Jefferson City, MO 65105-0200
for additional information.
Form 4317 (Revised 01-2020)