State Employee Online Library Card Application

To register for a Missouri State Library card, complete the form below.

Missouri residents (non-State Employees) must

Register in person
Present a MO Driver's License of state-issued ID and
Verification of current home address (such as a recent billing label). We cannot accept P.O. Box addresses.

* indicates required field

Select one: *

I am a

Missouri State Employee

Missouri State Elected Official

Legislative or State Agency Intern

Other

If "Other" please clarify:

Please select one: *
I want my requested items sent to my office via InterAgency Mail.
I want to pick up my requested items at Missouri State Library.

First Name *

Middle Initial

Last Name *

State Agency *

If "Other" please clarify:

Division Name *

Interagency Address *
(In Jefferson City use street address. Outside Jefferson City use street address or post office box number.)

City *

Zip Code *

Office Phone # *
— —

FAX #
— —

State Email Address
@

Home Address *
(Physical Home Address Only. PO Box is not sufficient.)

City *

State *

Zip Code *

Home Phone # *
— —

Other Email Address
@

Questions? Requests?

Missouri Secretary of State, Robin Carnahan

State Employee Online Library Card Application