PURPOSE: This rule complies with section 302.181, RSMo which provides for a form to be utilized for designating anatomical gifts as provided in section 194.240, RSMo and the name and address of the person designated as the licensee’s attorney-in-fact for the purposes of a durable power of attorney for health care decisions.

1. (1) The attached information, included herein, may be printed on the back of a person’s driver license, permit or non-driver license. It includes endorsements, restrictions, two (2)-dimensional bar code, and areas for indicating whether the person has taken a skills test, for designating anatomical gifts, and for designating the name and address of the licensee’s attorney-in-fact for the purposes of a durable power of attorney for health care decisions.

2. (2) The following information will be contained in the two (2)-dimensional bar code on the back of a person’s license document(s):

   1. (A) Driver license number;
   2. (B) License expiration date;
   3. (C) License classification;
   4. (D) Driver name (as it appears on the face of the license);
   5. (E) Date of birth;
   6. (F) Residence address (which includes street, city, state and zip code);
   7. (G) County of residence;
   8. (H) Sex;
   9. (I) Height;
   10. (J) Weight;
   11. (K) Eye color;
   12. (L) Restrictions;
   13. (M) Endorsements;
   14. (N) License issue date;
   15. (O) Sequential control number; and
   16. (P) State of Missouri identifier. AUTHORITY: section 302.181, RSMo 2000.* Original rule filed Sept. 15, 1995, effective March 30, 1996. Amended: Filed Aug. 26, 1999, effective Feb. 29, 2000. Amended: Filed June 20, 2002, effective Dec. 30, 2002. *Original authority: 302.181, RSMo 1939, amended 1951, 1961, 1971, 1973, 1979, 1984, 1986, 1989, 1991, 1992, 1995, 1996, 1999.