Missouri Gender Marker Change

Volunteer attorneys and paralegals with STL Name & Gender Marker Change Mutual Aid have been working hard behind the scenes to define a new process for people to change the gender markers on their Missouri State ID/DL.

At the same time, we are fighting at the State Capitol to block proposed laws that would ban all gender marker changes.

If you are seeking a legal name change, send us an email and we might be able to help you add a gender marker change order right onto that same case.

UPDATE (June 2026)  Beginning in November 2025, the Missouri Department of Revenue changed their policies on amending gender markers on Missouri driver licenses and state ID cards. Previously, people could take a court order or a letter from a surgeon to the DMV to change the gender marker on their MO ID/DL. But the November 2025 policy change means that now the DMV will only change the gender marker on a Missouri drivers license or state ID card if the gender marker has already been updated on their birth certificate.

Complications that can arise due to the Nov 2025 changes:

• There are some states that do not currently allow people to update the gender marker on their birth certificate (like Texas and Kansas), so people who live in Missouri but were born in one of these restrictive states are most likely currently unable to update the gender marker on their DL/ID.

• Also, because Missouri does not recognize “X” gender markers, if a person born in another state has an “X” gender marker on their birth certificate when they go to the Missouri DMV, then it is likely that the Missouri Dept. of Revenue will ask for additional documents to try to determine the sex assigned at birth and will likely use that for the Missouri ID/DL.

You will need to present the following to any Missouri DMV for a gender marker change:

• Birth certificate

You MAY be asked to present

• Proof of residency

• Proof of social security number (if you have not previously obtained an ID in that state

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UPDATE (Nov. 2024): Missouri Form 5532 is no longer being accepted by the DOR and, at this time, there is no alternative form for changing the gender marker on a MO State ID/DL.

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UPDATE (Sept. 2024): In August 2024, a handful of unelected bureaucrats in the Missouri Department of Revenue unilaterally decided to suddenly and secretly remove Form 5532 from their website and stop accepting it at license offices. They refuse to give any details as to what process can be used in place of Form 5532 for Missourians seeking a gender marker change on their state ID/DL.
We stand with everyone who is harmed by their transphobia, and we are working to fight for our community members to once again have access to accurate government ID documents.

In the meantime, we are asking people to pressure their local elected officials to create municipal photo ID card programs with self-determined gender markers.

We suggest that trans Missourians who are seeking the safety and security of having a government photo ID with their accurate gender marker consider getting a U.S. Passport Card (or Passport booklet), which allows you to select your own gender marker without requiring any supporting evidence.
U.S. Passport gender marker options include "M", "F", and "X".

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If you are interested, you can request a gender designation change on your state issued ID when updating your ID to reflect your name change. This takes some extra steps including meeting with a Physician, Therapist/Counselor, or Social Worker that is willing to support you in the gender marker change application.