The T

BC Info Only: Alabama will issue an "amended" birth certificate noting change of name and sex, but will not issue a new birth certificate replacing the original.
Fees: $15.00 for the first copy and $4.00 for each additional copy (fees subject to change).
Documents needed:
An original or certified copy of the court order for your name change
An original or certified copy of the COURT ORDER for change of sex
A surgeons letter who completed your surgery
The next step into the procedure is best handled through an attorney, although at extra cost. You must file a "petition to amend a vital record," state what you want to amend, provide documentation of the reason for your petition, and name the Center for Health Statistics as defendant.
If you live in another state they will accept the court order from that state (according to one source; other sources say non-Alabama residents must file for a court order in Montgomery County, Alabama). The fee for the court order is a separate fee, and varies from one court to another.

If you see this information listed on a website outside of The Transitional Male site, report Immediately
Contact information:
State Board of Health
Center for Health Statistics
P.O. Box 5625
Montgomery, AL 36103-5625
(334) 206-5418; (334) 206-5426
Dorothy S. Harshbarger
State Registrar and Director
dharshbarger@adph.state.al.us

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ALASKA

Alaska will issue an amended birth certificate noting change of name and sex.
Documents needed:
An original or certified copy of the court order for the name change
An original or certified copy of the letter from your SRS surgeon
Alfred G. Zangri
Chief, Health Research and Vital Statistics
Department of Health and Social Services
azangri@health.state.ak.us

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ARIZONA

Arizona will change both name and sex, and will issue a new birth certificate rather than amend the old one. The original certificate is "closed" to further inspection.
Documents needed:
An original letter from your SRS surgeon
An original or certified copy of the court order for your name change
Contact information:
Office of Vital Records
Arizona Dept. of Health Services
P.O. Box 3887
Phoenix, AZ 85030-3887
(602) 255-3260
Fax: (602) 249-3040
http://www.hs.state.az.us/vitalrcd/vitalrcd.htm
Renee Gaudino
Administrator and Assistant State Registrar
Arizona Department of Health Services
rgaudin@hs.state.az.us

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ARKANSAS

Arkansas will change both name and sex, and will issue a new birth certificate if the court order so specifies.
Documents needed:
A request for the court order must include medical documentation (a letter from your SRS surgeon)
Arkansas Department of Health
Division of Vital Records
4815 West Markham Street
Slot 44
Little Rock AR 72205
Telephone:
(501) 661-2174
Thank You for your cooperation. If you have any questions please contact me
at (501) 661-2275.
Grace Carson
Records Management Analyst I

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CALIFORNIA

California will change both name and sex, and will issue a new birth certificate rather than amend the old one.
California Health and Safety Code, Section 103425-103445, states: "A petition for the issuance of a new birth certificate in those cases shall be filed with the superior court of the county where the petitioner resides."
Documents needed:
An original letter from your SRS surgeon
An original or certified copy of the court order for your name change.
If you do not have a court order for your name change, you may petition the court for change of name at the same time you petition for the new birth certificate.
Fees are determined by the superior court of the county receiving the petition.
Michael Rodrian
State Registrar and Chief
Center for Health Statistics
mrodrian@dhs.ca.gov

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COLORADO

We have received your request for the change to the birth certificate however; we are still missing some documentation. A list of documents will follow to let you know what we need to process your request.

A list of documents will follow to let you know what we need to process your request.

A notarized application for correction of a birth certificate asking us to change your name and gender.

A certified copy of a legal name change that changes your name from ? to ? along with a certified copy of a court order, ordering that the gender of the registrant has been changed from to . (The legal name change and gender change can be on the same court order).

Other: Upon receipt of a certified copy of an order of a court of competent jurisdiction indicating that the sex of an individual born in this state has been changed by surgical procedure and that such individual's name has been changed, the certificate of birth of such individual shall be amended as prescribed by regulation.

Effective 10-01-2003, State Law requires all requests must be accompanied by a copy of the requestor’s identification before processing. Please return your request with a copy of your driver’s license, state ID or passport.

Please return all the documents listed above along with the appropriate fees so we can complete your request. If you should have any questions please don’t hesitate to call me at the number listed below. Sorry for any inconvenience this may cause.

Thank you:

Jake J. Salazar
Birth Correction Coordinator
Colorado Department of Public Health & Environment
4300 Cherry Creek Drive South
Denver, CO 80246
Phone - 303-692-2226
Email - Jake.Salazar@state.co.us
Our Website - www.cdphe.state.co.us
Revised 3/24/04

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CONNECTICUT

Connecticut will change both name and sex. The birth certificate is marked "amended," but the item(s) amended are not specified.
Documents needed:
A court order is not required
Documentation from your SRS surgeon (required)
Fees: $15.00 (fees subject to change).
Daniel J. Savino
Registrar of Vital Records
Department of Public Health
daniel.savino@po.state.ct.us

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DELAWARE

Delaware will change both name and sex, and will issue a new birth certificate rather than amend the old one.
Documents needed:
An original letter from your SRS surgeon
An original or certified copy of the court order for your name change
Michael L. Richards
Director
Office of Vital Statistics
mrichards@state.de.us

The District of Columbia will NOT issue a new birth certificate, but will amend the original birth certificate
Documents needed:
Certified copies of the court order for name change
A letter from the surgeon who performed SRS
Mr. Carl W. Wilson, M.P.H.
Registrar and Director
DC State Center for Health Statistics
cwilson27@aol.com

(Thank you to Dr Becky for this update:) Florida WILL change name and sex on the birth certificate, and will issue an amended certificate. This is a significant change in policy.

To process a request for birth certificate amendment as a result of gender reassignment surgery:

· The registrant must present a court order entered pursuant to Section 68.07, Florida Statutes OR if the order is from another state, there must be evidence that the proceeding for name change is substantially similar to that outlined in Section 68.07, Florida Statutes. The registrant may submit a copy of the petition for change of name or the applicable state statute that indicates what procedures the foreign court utilized.

· The existing birth record must be amended to reflect the name change prior to processing for gender reassignment surgery.

· Once the name change is recorded, the registrant must file a notarized affidavit, i.e., DH 430, Affidavit of Amendment to Certificate of Live Birth. Additionally, pursuant to Section 382.003, the applicant must submit medical records indicating that the patient has completed sexual reassignment in accordance with appropriate medical procedures and that they are now considered to be of (male/female) gender) for all medical purposes . The medical records must be signed by the physician who performed the reassignment surgery. The physician must include his/her medical license number.

· The required amendment fee must be submitted and the record will be amended as outlined in Florida Administrative Code Rule. 64-V.1.003 (1)(f) to correct the gender, which conflicts with the given name as recorded.

(1) the court order for a name change must be effected first - and the person should choose a clearly female name, e.g., don't change your name to Pat, Dana, Frances/Francis, Meredith or any other name that could be construed as a male name.

(2) the birth certificate must be amended to reflect the new, clearly female name.

(3) After the birth certificate has been amended to reflect the new "clearly female" name, then you can apply to change the gender based on the fact that the gender is clearly in conflict with the name. You should include an affidavit from the physician who performed operation and who will state that you are female.

Office of Vital Statistics
Department of Health and Rehabilitative Services
P.O. Box 210
Jacksonville, FL 32231-0042
(904) 359-6929

Georgia will change both name and sex, and will issue a new birth certificate rather than amend the old one.
Documents needed: UNKNOWN
Contact Information:
Vital Records Service
State Dept. of Human Resources
47 Trinity Avenue SW, Room 217-H
Atlanta, GA 30334
(404) 656-4750
Email: GDPHINFO@dhr.state.ga.us
Michael R. Lavoie
Director, Vital Records Unit
mrl0600@dhr.state.ga.us
Please contact the Legal Section of the Vital Records office (404-656-4901) and ask for instructions for correcting a vital record.

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HAWAII

Hawaii will change both name and sex, and will issue a new birth certificate rather than amend the old one.
Documents needed:
An original or certified copy of the letter from your SRS surgeon
A court order is not required.
Alvin T. Onaka, Ph.D.
State Registrar and Acting Chief
Office of Health Status Monitoring
alvino@hawaii.edu

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At this writing, Idaho does NOT change name or sex on a birth certificate. Idaho legislature rejected a bill to permit the changes.

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Illinois will change both name and sex, and will issue a new birth certificate rather than amend.
Documents needed:
The original letter from your SRS surgeon
A certified copy of the name change order
You must write to the following address:
Illinois Dept of Public Health
Dept. of vital statistics
525-535 West Jefferson St.
Springfield, Illinois 62761-0001
Ask for a "request for change of name and sex form."
Complete this form and return it, along with the original letter from your SRS surgeon and a certified copy of the name change order
Fees: $15.00 (fees subject to change).
Merwyn Nelson, Ph.D.
Chief, Illinois Center for Health Statistics
Illinois Department of Health
mnelson@idph.state.il.us

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INDIANA

Indiana will issue a new birth certificate with your new name.
Indiana does not include the sex on the birth certificate.
Documents needed: A copy of your old birth certificate
A copy of the court order for your name change
Fees: $5.00 for the procedure and $5.00 for each additional certificate you request (fees subject to change).
Contact the health department of the county in which you were born.
Barbara Stultz
State Registrar and Director
Vital Records Division
bstultz@isdh.state.in.us

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IOWA

Iowa will change both name and sex, and will issue a new birth certificate rather than amend the old one.
Documents needed: An original letter from your SRS surgeon
An original or certified copy of the court order for your name change
Jill France
Chief, Bureau of Vital Records
Iowa Department of Public Health
jfrance@idph.state.ia.us

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KANSAS

Kansas will issue an amended birth certificate.
Documents needed:
Affidavit from applicant documenting dressing and living as new gender
Documentation of hormone treatment and surgery ("physiological OR hormonal change").
Lorne A. Phillips, Ph.D.
State Registrar and Director
Center for Health and Environmental Statistics
lphillip@kdhe.state.ks.us

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KENTUCKY

Kentucky will change both name and sex, and will issue a new birth certificate rather than amend the old one.
Documents needed:
An original letter from your SRS surgeon
An original or certified copy of the court order for your name change
Barbara F. White
State Registrar, Vital Statistics
Department for Health Services
bwhite@mail.state.ky.us

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LOUISIANA

Louisiana will change both name and sex, and will issue a new birth certificate rather than amend the old one.
Documents needed:
An original letter from your SRS surgeon
An original or certified copy of the order for your name change which must be approved by the District Attorney.
If you are married, your spouse must give written consent for the changes.
William H. Barlow
State Registrar and Director
Division of Records and Statistics
wbarlow@dhhmail.dhh.state.la.us
NOTE: Louisiana will NOT change the sex designation on a driver's license unless you can produce a birth certificate with the desired sex designation.
NOTE! If you were born in FL, ID, OH, or TN, but now live in LA at the time of your SRS, you cannot get your driver's license changed.

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MAINE

Maine will change both name and sex, and will issue a new birth certificate rather than amend the old one.
Documents needed:
An original letter from your SRS surgeon
An original or certified copy of the court order for your name change
Fees: $20.00 (fees subject to change).
N. Warren Bartlett
State Registrar and Director
Health Data and Program Management
nelson.w.bartlett@state.me.us

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MARYLAND

The Division of Vital Records can change your sex and name on your birth certificate Jim Chandley share
Documents needed: A Court Order indicating that both your name and sex are to be changed
NOTE! They cannot change the sex on a birth certificate with just a Physicians letter!
You might be able to obtain an amended Court Order to indicate the correct sex along with
your new name.
Once you obtain this information, send True Test Copy or Original Court Order to:
Kathryn A. Morris Division of Vital Records
P.O. Box 68760, Baltimore, Md. 21215-0020 c/o
C/O Birth Section Chief.
If you have any questions, call or email her:
(410)764-3145.
DVR_PO.MorrisK@dhmh.state.md.us
There is a $20.00 fee (fees subject to change).

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MASSACHUSETTS

Massachusetts will issue an amended birth certificate.
Documents Needed:
An original letter from your SRS surgeon
An original or certified copy of the court order for your name change
Elaine Trudeau
Registrar, Registry of Vital Records and Statistics
elaine.trudeau@state.ma.us

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MICHIGAN

Changing Sex on Your Birth Certificate - (below) if you have information on how to change sex on Drivers License, please submit to: admin@thetransitionalmale.com

Michigan will change both name and sex, and will issue a new birth certificate rather than amend the old one.
Michigan law also provides for "sealing" of the old record, see Michigan Compiled Law 333.2831.
Documents Needed:
An original letter from your SRS surgeon
An original or certified copy of the court order for your name change
Fees: $26.00 (fees subject to change)
Contact information:
Michigan Department of Community Health
Changes Unit
(517) 335 - 8660
http://www.mdch.state.mi.us/
Carol Getts
State Registrar and Chief
Office of the State Registrar Center for Health Statistics
gettsc@state.mi.us

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Updated March 24, 2003: Minnesota will issue an amended birth certificate with a court order.

Hi Nick, I just wanted to let you know that the information for MN is incorrect. I am in the process of changing my Minnesota birth record. I have a court ordered name change from Oregon, but it does not specifically state that my birth certificate should be changed or a new one reissued, so I have to get another court order in order to change my birth record. MN does require court orders to do this. They are very friendly and understanding though. Here is what Ms Grinsteinner stated (she is the one to contact about changing MN birth records):

"The court order you need must state that the name and gender designation should be amended on the birth record or a new birth record completed showing the new information. If we amend the birth record it will have a statement that the name and gender designation was amended on the birth record based on a court order. If the court order states to complete a new birth record, it will not show that it was amended. It will just show the new information. It is up to the court to determine which type of court order they would approve. We would accept a court order from an Oregon court."

Mississippi will NOT issue a new birth certificate. If a court order is received, Mississippi will issue an amended birth certificate with the new name and gender typed in the margin, but the old name and gender remaining unchanged.
Contact information:
Vital Records
State Department of Health
2423 North State Street
P.O. Box 1700
Jackson, MS 39215
(601) 576-7960
Fax: (601) 576-7505
Nita Gunter
State Registrar and Director
Public Health Statistics
ngunter@msdh.state.ms.us

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MISSOURI

Missouri will issue an amended birth certificate.
Documents Needed:
An original or certified copy of the court order for the name change, law states: "if the name is 'typically' used for the opposite sex."
Mr. Gary L. Shipley
Chief, Bureau of Vital Records
Center for Health Information Management & Epidemiology
shiplg@mail.health.state.mo.us

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MONTANA

Montana will issue an amended birth certificate, but what can be amended is not clear.
Documents Needed:
An original letter from your SRS surgeon
An original or certified copy of the court order for your name change
Debra M. Fulton
Acting State Registrar and Acting Chief
Bureau of Vital Statistics
defulton@mt.gov

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Nebraska will change both name and sex, and will issue a new birth certificate rather than amend the old one.
Documents Needed:
An original letter from your SRS surgeon
An original or certified copy of the court order for your name change
Stanley S. Cooper, M.S., Ph.D.
Service Administrator
Health Records Management Section
doh7151@vmhost.cdp.state.ne.us

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Nevada will change both name and sex, and will issue a new birth certificate rather than amend the old one.
Documents Needed:
An original letter from your SRS surgeon
An original or certified copy of the court order for your name change
Emil DeJan
Bureau Chief, Health Planning and Statistics
Office of Vital Records
edejan@govmail.state.nv.us

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New Hampshire will change both name and sex, and will issue a new birth certificate rather than amend the old one.
Documents Needed:
An original letter from your SRS surgeon
An original or certified copy of the court order for your name change
Karen Grady
State Registrar and Chief
Bureau of Vital Records and Health Statistics
kgrady@dhhs.state.nh.us

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NEW JERSEY

New Jersey will change both name and sex, and will issue a new birth certificate rather than amend the old one.
Documents Needed:
An original notarized letter from your SRS surgeon
An original or certified copy of the court order for your name change.
Fees: Not indicated but are charged for each copy of new birth certificate
Contact information:
State of New Jersey
Department of Health
P.O. Box 370
Trenton, NJ 08625
Attention: Corrections Unit
Mr. Don Lipira
State Registrar
Vital Statistics and Registration
dll@doh.state.nj.us

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NEW MEXICO

New Mexico will change both name and sex, and will issue a new birth certificate rather than amend the old one. The old information will be "sealed" and cannot be opened without a court order.
Documents Needed:
An original letter from your SRS surgeon
An original or certified copy of the court order for your name change
Fees: $10.00 for changing the information, and another $10.00 for a new certificate (fees subject to change).
Contact information:
Vital Records and Health Statistics Bureau
1105 St. Francis Drive
Santa Fe, New Mexico 87503
Phone: (505) 827 - 0121 or 827 - 2338
FAX: (505) 827 - 1751
Celine Sanchez
State Registrar
Bureau of Vital Records and Health Statistics
csanchez@health.state.nm.us

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New York City has its own separate Bureau of Vital Statistics. New York City will issue a new birth certificate rather than amend the old one.
NOTE: The new birth certificate will list the new name but will not have a listing for sex at all, that section is omitted.
Documents Needed:
An original or certified copy of the court order for your name change
An original letters from your SRS surgeon and your psychiatrist/psychologist.
Steven Schwartz, Ph.D.
Registrar and Director
Office of Vital Statistics and Epidemiology
sschwart@dohlan.nycnet.ci.nyc.ny.us

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NEW YORK STATE

New York State will change both name and sex, and will issue a new birth certificate.
New York requires more documentation than most states. You must first complete an application which can be obtained from the following address:
State of New York
Department of Health, Vital Records Section
Corning Tower
Empire State Plaza
Albany NY 12237
INSTRUCTIONS:
Return the completed application, with fees as indicated on the application, and the following documents (all "original or certified copy"):
A court order for name change, bearing the court seal, certified by the clerk of the court. A Certified proof of publication is also required.
The court order must include original name, date and place of birth.
A letter from your SRS surgeon, specifying date, place, and type of procedure
An OPERATIVE REPORT from your SRS
A letter from your primary therapist documenting 'true transsexualism or inappropriate sexual identification', as set by the guidelines of the State of New York.
A letter from your endocrinologist or other medical physician "concerning hormonal, chromosomal or endocrine information."
Once these documents are received, a "medical review" will be performed, and your new certificate issued. Processing takes approximately three months. One certified copy will be provided following the amendment
Fees: $15.00 each (fees subject to change).
Mr. Peter Carucci
Director
Vital Records Section
pmc02@health.state.ny.us

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North Carolina will change both name and sex, and will issue a new birth certificate rather than amend the old one.
Documents Needed:
An original letter from your SRS surgeon
An original or certified copy of the court order for your name change
Mr. Torrey McLean
State Registrar and Chief, Vital Records Section
State Center for Health and Environmental Statistics, DEHNR
torrey_mclean@mail.ehnr.state.nc.us

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North Dakota will issue an amended birth certificate.
Documents Needed:
An original or certified copy of the court order for the name change
An original letter from your SRS surgeon
Beverly R. Wittman
Deputy State Registrar for Vital Statistics and Director
Division of Vital Records
bwittman@state.nd.us

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At this writing, Ohio will NOT change sex on the birth certificate, but will change the name.

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Oklahoma will issue an amended birth certificate.
Documents Needed (this is current to 2006):
MUST HAVE An original letter from your SRS surgeon ( a local guy tried to fight this summer 2006 and was not successful)
A court order is not required. If you see this information listed on a website outside of The Transitional Male site, report to Nick Immediately

Vital Records
Location: 1000 N.E. Tenth, Room 111, Oklahoma City, OK 73117
Phone: 405/271-4040

(Thank you to Evan for this update: Oct. 08, 2004 see his email to me below this information)

Oregon will change both name and sex, and will issue an amended birth certificate and you now must have a court ordered sex change document

Please contact the Oregon Vital Records department FIRST and ask for complete documentation needed as this state has changed criteria now 2 times in 2 years. Don't be shy; ask!

Oregon Vital Records
PO Box 14050
Portland, OR 97293-0050
Attn: Becki - Becki phone number: 503-731-4268.
Department manager: (503) 731-4416

Evan's email to Nick: I will be posting his update when he obtains his BC. I have since updated this area after receiving this email.

I've been visiting your site for a couple years now, and I just want to thank you for all the information and resources you have made available. It has been a great help to me.

I recently sent in all the information I thought that I needed to have my name and sex legally changed on my Oregon birth certificate, only to have it sent back to me with a note saying that I needed to include a court ordered sex change document. I called Becki at the Oregon Department of Human Services, and she said that someone wishing to change their sex on the birth certificate is not required to send any information from their surgeon, but confirmed the fact that I do need a court ordered sex change document. I thought that you might like to know this so you can change the information you currently have on your site."

Pennsylvania will change both name and sex, and will issue a new birth certificate with no mention of being amended. The original birth certificate is amended and "sealed" so that it is unavailable to the public.
Documents Needed:
An original letter from your SRS surgeon
An original or certified copy of the court order for your name change
Fees: $4.00 civilian; No fee for military veterans (fees subject to change)
Mail to this address:
PA Department of Vital Records
101 South Mercer Street
New Castle, PA 16101
With your materials, include your date and county of birth.
Linda A. Bordonaro
Descriptive Statistical Supervisor
Division of Health Statistics and Research
lbordona@health.state.pa.us
Pennsylvania might keep the original letter from the SRS surgeon and may not return it.

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Rhode Island will issue an amended birth certificate, with a note designating the change of name. The change of sex is not marked as a change on the amended certificate.
Documents Needed:
A original letter from your SRS surgeon
A court order is not required
Roberta A. Chevoya
State Registrar and Chief
Division of Vital Records
chev100w@wonder.em.cdc.gov

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South Carolina will NOT issue a new birth certificate. They will send a "card" that can be attached to the old birth certificate, indicating change of name and sex.
Documents Needed:
An original court order for the name change
A letter from the SRS surgeon
Fees: $39.00 (fees subject to change).
Contact Information:
Bureau of Vital Statistics
Dept. of Health and Environmental Control
J. Marion Sims Building
2500 Bull Street
Columbia, SC 29201
Phone: (803) 898 - 3630
Murray B. Hudson, M.P.H.
Assistant State Registrar and Director
Office of Public Health Statistics and Information Systems
hudsonmb@columb20.dhec.state.sc.us

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TENNESSEE

Tennessee will NOT change the sex designation on the birth certificate.
Tennessee will issue an amended birth certificate with the old name visibly struck over and the new name typed above it.
Documents Needed:
An original or certified copy of the court order for your name change
Contact your State Registrars Office or Bureau of Vital Statistics or visit their website http://vitalrec.com/tn.html
(Thanks to Jim Chandley for sending that link and for sending this account of his name change in Tenn.)

"Getting my name changed in my home state of Tennessee was a relatively easy process. First, I called the court house and asked who was in charge of name changes. I was told that it was the County Clerk. I then called the number for the County Clerk and spoke with his secretary. I asked her what was necessary for a name change. She told me I needed a certified copy of my original birth certificate, available from the Vital Statistics office in Nashville for a fee, a letter from my therapist stating that I was in transition as a female to male transsexual (I had told her why I was making the name change), and seventy-five dollars, payable by money order, check, cash, or credit card.

I made an appointment with her and proceeded to gather the necessary documents.

On the appointed date, I went to the court house, to the County Clerk's office and presented the secretary with the required paperwork. She typed up a petition right then and there. When she finished typing the petition, I had to speak to the County Clerk and assure him that I was not making the name change to avoid creditors or evade the law. He signed the petition, and gave it to his secretary, who took it to the judge who was in court, while I waited in the hallway.

In about 15 or 20 minutes she came back with 5 copies of the signed petition with the court seal. I took them and used the first to get my name changed on my birth certificate. I sent a copy of the decree, and a copy of my therapist's letter to Nashville and the required fee of twenty dollars. In about a month I received four copies of my new birth certificate. My new name was in the place where my old name had been and there was a date stamp showing the date of the change. There was no trace of my old name. The sex was unchanged, of course. I used the certified copies of my birth certificate to change my name on my social security card. A note here...the social security bureau wouldn't change my sex on my record. I had marked sex: male on the application for name change. I also used them to change my driver's license, nursing license, and voter registration.

It was a relatively painless process. It was a little hard to go to the court house at first, knowing that they would know I was a ts, but then I realized I had nothing to be ashamed of." Jim Chandley

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TEXAS

Utah will issue an amended certificate, changing both name and sex, and the certificate will not reveal which items were changed.
Documents Needed:
An original or certified copy of a court order for your name change
A court order for your change of sex designation
These court orders can be from any U.S. State or from Canada
Barry E. Nangle
Director
Bureau of Vital Records
hlvr.bnangle@email.state.ut.us

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VERMONT

Vermont will issue an amended certificate, changing both name and sex.
Documents Needed:
An original or certified copy of a court order for your name change
A court order for your change of sex designation
The court will probably require documentation from your SRS surgeon.
Contact your State Registrars Office or Bureau of Vital Statistics

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VIRGINIA

Virginia will change both name and sex, and will issue a new birth certificate rather than amend the old one.
Documents Needed:
An original letter from your SRS surgeon
An original or certified copy of the court order for your name change
Contact your State Registrars Office or Bureau of Vital Statistics

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WASHINGTON

Washington will issue an amended certificate, changing both name and sex.
Documents Needed:
An original or certified copy of a court order for your name change
A court order for your change of sex designation (OR a letter from your SRS surgeon)
Contact your State Registrars Office or Bureau of Vital Statistics

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WEST VIRGINIA

West Virginia will change both name and sex, and will issue a new birth certificate rather than amend the old one.
Documents Needed:
An original or certified copy of the court order for your name change
An original letter from your SRS surgeon
Contact your State Registrars Office or Bureau of Vital Statistics

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WISCONSIN

Wisconsin will change both name and sex, and will issue a new birth certificate. NOTE: You must check the box on the application form to "IMPOUND" the original. This causes the original certificate to be closed to further inspection.
Documents Needed:
An original letter from your SRS surgeon
An original or certified copy of the court order for your name change.
Take these to your local clerk of courts and explain what you need done. It takes 2-4 weeks for processing.

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WYOMING

Wyoming will issue an amended certificate. The certificate will specify the birth name and the birth gender, unless you can obtain a court order mandating a new certificate be created.
Contact your State Registrars Office, County Clerk or Bureau of Vital Statistics for info

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PERSONS BORN OUTSIDE THE USA BUT ARE NOW CITIZENS:

You can change your name and gender on your U.S. Department of State issued birth certificates.
Documents Needed:
A legal name change (original or certified copy) from the court of the county for which they reside
The original birth certificate
An original letter of SRS from the surgeon
People should also include their "Report of Birth Abroad of a Citizen of the USA" so that it can also be changed. If the original is not available you must send a signed notarized affidavit explaining why.
Forward all documents to:
U.S. Dept of State
1111 19th Street N.W., Suite 510
Washington D.C. 20502-1705
(202) 955-0307
The State Department will then re-issue a new birth certificate (not amended) and the process takes approximately 6-8 weeks.
Fees: $40 (fees subject to change).

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Ontario
Ontario will issue an amended certificate, changing either name or sex, and the certificate will not reveal which items were changed. The change of the sex designation on the birth registry is a separate process from the change of name. A copy of the long form of the certificate will list the original name and sex, along with the new name and new sex, plus annotations describing the changes made.
Change of Name: Contact the Registrar General's office and request an Application to change an adult's name. You will need original copy of your birth certificate, a signature of a guarantor, and a signature of a commissioner. Present cost is C$137.
Change of Sex Designation: Contact the Registrar General's office and request an Application for Change of Sex Designation on Birth Registry package. There are three forms to be filled in. You fill in the Application for Change of Sex Designation on Birth Registry form. The surgeon who conducted the transsexual surgery the Medical Certificate of Transsexual Surgery. And another physician completes the Medical Certificate to Substantiate Transsexual Surgery was Performed form. The cost to have the change performed is C$37. Cost of the short form (certificate) is $C15 while the cost of the long form is C$22.
Office of the Registrar General
P.O. Box 4600, 189 Red River Road
Thunder Bay, Ontario P7B 6L8
(800) 461-2156 or (416) 325-8305