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Under this rule, people who were born in Washington State and want to change their sex designation on their birth certificate to reflect their gender identity may do so by completing the appropriate request form. The new rule added “X” as a third sex designation option.
“X” means a gender that is not exclusively male or female, including, but not limited to, intersex, agender, amalgagender, androgynous, bigender, demigender, female-to-male, genderfluid, genderqueer, male-to-female, neutrois, nonbinary, pangender, third sex, transgender, transsexual, Two Spirit, and unspecified.
What is required?
After January 27, 2018, you need to complete the appropriate Sex Designation Change request form. A court order or a letter from your physician will not be accepted.
Adult (over 18 years of age or an emancipated minor)
- The 422-143-Request to Change Sex Designation on a Birth Certificate for an Adult form (PDF) must be completed by a person requesting to change the sex designation on their birth certificate. Emancipated minors must include proof of legal emancipation under chapter 13.64 RCW (i.e. certified court order). Guardians acting on behalf of an adult must include proof of guardianship appointed under chapter 11.92 RCW.
- The 422-143-Request to Change Sex Designation on a Birth Certificate for an Adult form (PDF) must be signed in the presence of a Notary Public.
- If your full current legal name is different than the full name listed on your birth certificate, you must provide a certified legal name change court order with the 422-146-Court Order Legal Name Change Request (PDF). If you want your full current legal name amended on your birth certificate, indicate by checking the appropriate box. Additional proof documentation might be requested.
Minors (under 18 years of age and not emancipated)
- The 422-144-Request to Change Sex Designation on a Birth Certificate for a Minor form (PDF) must be completed and signed by a parent or legal guardian on behalf of the minor wanting to change the sex designation on their birth certificate. Legal guardians acting on behalf of the minor must include proof of legal guardianship (i.e. certified court order).
- The 422-144-Request to Change Sex Designation on a Birth Certificate for a Minor form (PDF) must be signed by a licensed health care provider or licensed mental health care provider, whose scope of practice allows them to determine that the requested change is consistent with the minor's identity.
- If your child is under 18 years old and you have not legally changed their given first and middle names, you can submit an Affidavit for Correction with consent of all listed parents to change the first and middle names. If your child's name has been legally changed on their birth certificate, you must provide a certified legal name change court order with this request form. If you want their full current legal name amended on their birth certificate, indicate by checking the appropriate box. Additional proof documentation might be requested.
Examples of licensed health care and mental health care providers include, but are not limited to the following:
- Licensed medical, osteopathic, and naturopathic physician
- Advanced registered nurse practitioner
- Licensed osteopathic physician assistant
- Physician assistant
- Advanced social worker
- Independent clinical social worker
- Marriage and family therapist
- Mental health counselor
There is no fee to amend the record. If you want a certified copy of the new birth certificate, complete a 422-182-Birth Certificate Order Form (PDF) and include $25 for each certified copy requested. Make check or money order payable to DOH.
Center for Health Statistics
Department of Health
PO Box 47814
Olympia, WA 98504-7814
Use by government agencies
At this time we are unsure if other agencies, such as Passport, will accept these amended certificates. For those that include change of sex, nothing on the record will indicate a change was made. This will make it difficult to connect the current record with the previous name on other documentation. In some cases, a court order might be needed for full use of the new name and sex designation.
Ordering a certificate with a correction request
- Send completed certificate order form with your correction request. Include all required documents referenced on the certificate application instruction page.
- Certificate will be issued after the correction has been processed.
Birth Certificate Application (en español)
Death Certificate Application (en español)
Marriage & Divorce Application (en español)
Exchanging a certificate with a correction request
If you currently have a certified copy of a certificate that was issued less than one year ago, send in the certified copy of the certificate with your correction request; we will exchange the certificate at no charge.
If you have any questions, contact us by email VitalRecordsCorrections@doh.wa.gov.