File:Requirements for altering birth certificate sex in the US.svg

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English: Requirements for altering birth certificate sex in the US.

Source: Identity Document Laws and Policies

 
State updates birth certificates using an administrative process and does not require provider documentation (15 states)
 
State updates birth certificates using an administrative process or a court order and requires provider documentation of "appropriate treatment" (18 states, 3 territories + D.C.)
 
State updates birth certificates, but it requires either an administrative process or a court order with proof of surgery (10 states, 2 territories)
 
State does not allow for amending the gender marker on the birth certificate (7 states)
Source This file was derived from: Blank USA, w territories.svg
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