Government Forms Series 2b
Complete the information in the form.
Applicant's Legal Name
MN Drivers License or ID #
Previous Name (if any)
Home Phone #
Social Security Number
I don't have one
Birthday
Eye Color
Sex
Hair Color
Weight
Height
State
Street Address
ZIP
City
County
Yes
No
I request that my license or ID card show that I have a living will/health care directive.
Yes
No
I request that my license or ID card have a Medical Alert identifier. I understand that the card will not contain any medical information.
Yes
No
I want my license or identification card to show that I consent to be an organ and tissue donor.
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GF2b1