Information only, not legal advice.

Information only, not legal advice.

Information only, not legal advice.

Information only, not legal advice.

Information only, not legal advice.

Information only, not legal advice.

Information only, not legal advice.

Information only, not legal advice.

Information only, not legal advice.

Information only, not legal advice.

Information only, not legal advice.

Information only, not legal advice.

Information only, not legal advice.

Information only, not legal advice.

Information only, not legal advice.

Information only, not legal advice.

Information only, not legal advice.

Information only, not legal advice.

Information only, not legal advice.

Information only, not legal advice.

State Directory

Gender Marker Updates

Updated: September 2026

Alabama

State ID Card or Driver’s License

Alabama’s policy for changing the gender marker on a driver’s license or state ID is currently subject to a court challenge.

Birth Certificate

Alabama allows M or F markers. You must provide a court order and medical documentation to update the marker on your certificate.

What You Need

Send:

  • Birth certificate amendment request
  • Certified copy of the court order
  • Copy of your government-issued photo ID
  • Required fee

Updated Certificate

The new copy is marked as amended and shows the former and updated information. The original record is not sealed.

Links & Forms


Alaska

State ID Card or Driver’s License

Alaska allows M or F markers. You must use the state form and get a licensed health care or social-service professional to confirm your gender identity.

What You Need

  • Complete Form 427
  • Ask an approved professional to complete the certification section
  • Apply for a replacement license or ID

Links & Forms

Birth Certificate

Alaska allows M or F markers. You can apply directly to Vital Records, but you need a provider statement confirming you received appropriate treatment for gender transition.

What You Need

Mail:

  • Required form
  • Provider’s original statement, signed in ink

Updated Certificate

The new copy is marked as amended and lists what was changed. The original record is not sealed.

Links & Forms


Arizona

State ID Card or Driver’s License

Arizona allows M or F. The state does not use a public gender-marker form. You need a signed statement from a licensed physician that says you are firmly committed to the gender-change process.

What You Need

  • Bring the physician’s signed statement to an Arizona Motor Vehicle Division office or an authorized office.

Birth Certificate

Arizona allows M or F. The state currently requires proof of surgery to change the marker.

What You Need

Send:

  • Birth certificate request
  • Affidavit to correct the record
  • Notarized letter from the physician who confirms the surgery
  • Certified name-change order if you are also changing your name

Links & Forms


Arkansas

State ID Card or Driver’s License

Arkansas allows M or F. You must first update the gender marker on your birth certificate. That process requires surgery and a court order.

What You Need

  • Bring the updated birth certificate when you apply for a replacement driver’s license or state ID.

Links & Forms

Birth Certificate

Arkansas allows M or F. You need a court order that states your sex was changed by surgery.

What You Need

Send:

  • Birth certificate request form
  • Certified copy of the court order
  • Copy of your government-issued photo ID
  • Doctor’s letter used for the court order
  • Required fee

Updated Certificate

The gender-marker amendment is kept private. The original certificate is moved to a special file.


California

State ID Card or Driver’s License

California allows M, F, or X. You can choose your marker on a simple form. You do not need a provider’s letter or a court order.

What You Need

  • Complete the gender category request form and apply for a replacement license or ID.

Links & Forms

Birth Certificate

California allows M, F, or X. Adults can request a marker change without medical documents.

What You Need

  • Complete Form VS 24B. A court order is not required to change only the gender marker.
  • Include a certified court order if you are also changing your legal name.

Links & Forms


Colorado

State ID Card or Driver’s License

Colorado allows M, F, or X. Adults can use a simple form and do not need a provider’s letter. Minors need provider certification.

What You Need

  • Complete Form DR 2083 and apply for a replacement license or ID.

Links & Forms

Birth Certificate

Colorado allows M, F, or X. Adults can apply directly to Vital Records without medical documents. Minors need a medical or mental health professional’s signature.

What You Need

Send:

  • Birth certificate correction form
  • Copy of the requester’s ID
  • Sex designation form
  • Required fee
  • Certified court order if you are also changing your legal name

Links & Forms


Connecticut

State ID Card or Driver’s License

Connecticut allows M, F, or X. You can use a simple form and do not need a provider’s letter.

What You Need

  • Complete Form B-385 and apply for a replacement license or ID.

Links & Forms

Birth Certificate

Connecticut allows M, F, or X. You need a provider’s statement that you had appropriate treatment for gender transition.

What You Need

Follow the Department of Public Health instructions and submit:

  • Required forms
  • Provider statement

Links & Forms


Delaware

State ID Card or Driver’s License

Delaware allows M or F. You must use the state form and get an approved licensed professional to sign it.

What You Need

  • Complete Form MV2020.
  • Ask an approved licensed professional to complete the certification section.
  • Apply for a replacement license or ID.

Links & Forms

Birth Certificate

Delaware allows M or F. You need documents that show appropriate treatment for gender transition.

What You Need

Submit:

  • Requester’s affidavit
  • Physician affidavit
  • Other required documents

Links & Forms


District of Columbia

State ID Card or Driver’s License

The District of Columbia allows M, F, or X. You can use a simple form and do not need a provider’s letter.

What You Need

  • Complete the District of Columbia Department of Motor Vehicles gender designation form and apply for a replacement license or non-driver ID.

Links & Forms

Birth Certificate

The District of Columbia allows M, F, or X. You need a provider’s statement that you had appropriate treatment for gender transition.

What You Need

Submit:

  • Gender designation application
  • Required provider statement

Links & Forms


Florida

State ID Card or Driver’s License

Florida does not currently allow gender marker changes on a driver’s license or state ID. The available markers are M and F.

What You Need

  • The former update process is no longer available.

Birth Certificate

Florida does not currently process gender marker changes on birth certificates. The available markers are M and F.

What You Need

  • There is no current application process for this change.

Georgia

State ID Card or Driver’s License

Georgia allows M or F. The state requires documents that show a physical gender change. This may include proof of surgery, a court order, or an updated birth certificate.

What You Need

  • Contact the Georgia Department of Driver Services before you go to confirm which documents it will accept.

Links & Forms

Birth Certificate

Georgia allows M or F. You need both a court order and proof of surgery.

What You Need

Submit:

  • Amendment forms
  • Certified court order
  • Proof of surgery
  • Identification
  • Required fee

Hawaii

State ID Card or Driver’s License

Hawaii allows M, F, or X. You choose the marker on the regular application. You do not need a provider’s letter.

What You Need

  • Use the regular application when you apply for a new, renewed, or replacement license or ID.

Links & Forms

Birth Certificate

Hawaii allows M or F on a birth certificate. A physician must confirm that you had appropriate clinical treatment for gender transition.

What You Need

Submit:

  • State sex designation change form
  • Physician certification
  • Required documents

Links & Forms


Idaho

State ID Card or Driver’s License

Idaho allows M or F. The state requires an updated passport or birth certificate. Idaho does not currently change gender markers on birth certificates, so this may block the ID change if you do not already have an updated document.

What You Need

  • Bring an updated passport or birth certificate when you ask for a replacement license or ID.

Birth Certificate

Idaho does not currently allow gender marker changes on birth certificates. The available markers are M and F.

What You Need

  • There is no current application process for this change.

Illinois

State ID Card or Driver’s License

Illinois allows M, F, or X. You can use a simple form and do not need a provider’s letter.

What You Need

  • Complete Form DSD A 329 and apply for a replacement license or ID.

Links & Forms

Birth Certificate

Illinois allows M, F, or X. You can apply directly to Vital Records without medical documents.

What You Need

  • Submit the Affidavit and Certificate of Correction Request. Sign it in front of a notary.
  • Include a certified court order if you are also changing your legal name.

Links & Forms


Indiana

State ID Card or Driver’s License

Indiana does not currently allow gender marker changes on a driver’s license or state ID. The available markers are M and F.

What You Need

  • The former update process ended on February 12, 2026.

Links & Forms

Birth Certificate

Indiana does not currently allow gender marker changes on birth certificates. The available markers are M and F.

What You Need

  • The former court-order process is no longer available.

Links & Forms


Iowa

State ID Card or Driver’s License

Iowa does not currently allow gender marker changes on a driver’s license or state ID. The available markers are M and F.

What You Need

  • The former update process ended on November 19, 2025.

Links & Forms

Birth Certificate

Iowa does not currently allow gender marker changes on birth certificates. The available markers are M and F.

What You Need

  • There is no current application process for this change.

Links & Forms


Kansas

State ID Card or Driver’s License

Kansas does not currently allow gender marker changes on a driver’s license or state ID. The license or ID must show the sex recorded at birth. The available markers are M and F.

What You Need

  • The state is also required to invalidate previously updated licenses and IDs.

Links & Forms

Birth Certificate

Kansas does not currently allow gender marker changes on birth certificates. The certificate must show the sex recorded at birth. The available markers are M and F.

What You Need

  • The state is also required to invalidate previously updated birth certificates.

Links & Forms


Kentucky

State ID Card or Driver’s License

Kentucky allows M or F. The state may require proof of surgery, a court order, or an updated birth certificate.

What You Need

  • Contact a Driver Licensing Regional Office before you go to confirm which documents it will accept.

Links & Forms

Birth Certificate

Kentucky allows M or F. A licensed physician must provide a sworn statement that surgery changed your gender.

What You Need

Submit:

  • Physician statement
  • Required amendment documents
  • Certified court order if you are also changing your name

Updated Certificate

The certificate is marked as amended.

Links & Forms


Louisiana

State ID Card or Driver’s License

Louisiana allows M or F. The Office of Motor Vehicles requires documents that show a gender change. This may include proof of surgery, a court order, or an updated birth certificate.

What You Need

  • Contact the Office of Motor Vehicles before you go to confirm which documents it will accept.

Links & Forms

Birth Certificate

Louisiana allows M or F. You need both a court order and proof of surgery.

What You Need

Submit:

  • Certified copy of the court order
  • Proof of surgery
  • Amendment application
  • Identification
  • Required fee

Updated Certificate

Louisiana issues a new birth certificate. The old certificate is kept under seal.

Links & Forms


Maine

State ID Card or Driver’s License

Maine allows M, F, or X. You can use a simple form and do not need a provider’s letter.

What You Need

  • Complete the Bureau of Motor Vehicles gender designation form and apply for a replacement license or ID.

Links & Forms

Birth Certificate

Maine allows M, F, or X. Adults can apply directly to Vital Records without medical documents.

What You Need

  • Adults complete Form VS-7.
  • Minors need a health care provider declaration and notarized signatures from both parents or legal guardians.

Links & Forms


Maryland

State ID Card or Driver’s License

Maryland allows M, F, or X. You choose the marker on the regular application. You do not need a provider’s letter or a separate gender-marker form.

What You Need

  • Apply for a new or replacement license or ID using the regular application.

Links & Forms

Birth Certificate

Maryland allows M or F on a birth certificate. A licensed health care provider must confirm that you had appropriate treatment for gender transition.

What You Need

Submit:

  • Application for change in sex designation
  • Provider certification
  • Required documents

Links & Forms


Massachusetts

State ID Card or Driver’s License

Massachusetts allows M, F, or X. You choose the marker on the regular application. You do not need a provider’s letter or a separate gender-marker form.

What You Need

  • Apply for a new or replacement license or state ID using the regular application.

Birth Certificate

Massachusetts allows M, F, or X. You can apply directly to Vital Records without medical documents.

What You Need

Submit:

  • Applicant affidavit
  • Other required amendment documents

Links & Forms


Michigan

State ID Card or Driver’s License

Michigan allows M, F, or X. You can use a simple form and do not need a provider’s letter.

What You Need

  • Complete the sex designation form and apply for a replacement license or ID.

Links & Forms

Birth Certificate

Michigan allows M, F, or X. You can apply directly to Vital Records without medical documents or a court order.

What You Need

Submit:

  • Sex designation application
  • Required identification
  • Required fee

Links & Forms


Minnesota

State ID Card or Driver’s License

Minnesota allows M, F, or X. You choose the marker yourself. You do not need a provider’s letter.

What You Need

  • Choose the marker when you apply for a new or replacement license or ID.

Links & Forms

Birth Certificate

Minnesota allows M or F on a birth certificate. You need either a physician’s letter or a court order.

What You Need

Submit:

  • Birth record amendment form
  • Physician’s letter or court order
  • Certified court order if you are also changing your legal name

Links & Forms


Mississippi

State ID Card or Driver’s License

Mississippi does not currently allow gender marker changes on a driver’s license or state ID. The available markers are M and F.

What You Need

  • The ban took effect July 1, 2026.

Birth Certificate

Mississippi allows M or F. You need a court order, but the sources do not clearly state what medical documents a judge may require.

What You Need

  • Contact the court and Vital Records before filing. Requirements may depend on the judge.

Updated Certificate

The updated marker appears as a note in the margin. The certificate shows both the former and updated markers.

Links & Forms


Missouri

State ID Card or Driver’s License

Missouri allows M or F. The state requires either medical documents from a surgeon or a court order.

What You Need

  • Bring the surgeon’s documentation or a certified court order when you apply for a replacement license or ID.
  • The former Form 5532 is no longer accepted.

Birth Certificate

Missouri allows M or F. You need both a court order and proof of surgery.

What You Need

Submit:

  • Court order
  • Proof of surgery
  • Amendment request
  • Identification
  • Required fee

Links & Forms


Montana

State ID Card or Driver’s License

Montana allows M or F. The state requires an updated birth certificate before it will change the marker on a license or ID.

What You Need

  • Bring the updated birth certificate when you apply for a replacement license or ID.

Birth Certificate

Montana allows M or F. You can currently apply directly to Vital Records without medical documents.

What You Need

Submit:

  • Gender designation form
  • Required identification
  • Required fee
  • Check the state forms page before applying because this policy has changed several times

Links & Forms


Nebraska

State ID Card or Driver’s License

Nebraska allows M or F. You must use the state form and get an approved licensed medical professional to sign it.

What You Need

  • Complete the Certification of Sex Reassignment form and apply for a replacement license or ID.

Links & Forms

Birth Certificate

Nebraska allows M or F. The state requires proof of surgery.

What You Need

Submit:

  • Amendment request
  • Medical proof of surgery
  • Other required documents

Links & Forms


Nevada

State ID Card or Driver’s License

Nevada allows M, F, or X. You choose the marker on the application. You do not need medical certification.

What You Need

  • Apply for a new or replacement license or ID and choose the marker on the application.

Links & Forms

Birth Certificate

Nevada allows M, F, or X. You can apply directly to Vital Records without medical documents.

What You Need

Submit:

  • Your affidavit
  • One of the following:
    • A second affidavit from someone who knows your gender firsthand
    • Provider statement
    • Court order

Updated Certificate

Nevada issues a new birth certificate with the corrected marker.

Links & Forms


New Hampshire

State ID Card or Driver’s License

New Hampshire allows M, F, or X. You use the regular application and do not need a provider’s letter.

What You Need

  • Check Replacement and write gender change as the reason on Form DSMV 450.

Links & Forms

Birth Certificate

New Hampshire allows M or F. You need a court order. The sources do not clearly state what medical documents a judge may require.

What You Need

  • Ask the court what evidence it requires before you file.

Updated Certificate

New Hampshire issues a new birth certificate.

Links & Forms


New Jersey

State ID Card or Driver’s License

New Jersey allows M, F, or X. You can use a simple form and do not need a provider’s letter.

What You Need

  • Complete the Motor Vehicle Commission gender designation form and apply for a replacement license or ID.

Links & Forms

Birth Certificate

New Jersey allows M, F, or X. You can apply directly to Vital Records without medical documents.

What You Need

Submit:

  • State application
  • Required identity documents
  • Required fee

Links & Forms


New Mexico

State ID Card or Driver’s License

New Mexico allows M, F, or X. You can use a simple form and do not need a provider’s letter. The form must be notarized. The X option may require a birth certificate that also shows X.

What You Need

  • Complete and notarize Motor Vehicle Division (MVD) Form 10237, then apply for a replacement license or ID.

Links & Forms

Birth Certificate

New Mexico allows M, F, or X. You can apply directly to Vital Records without medical documents.

What You Need

Submit:

  • Gender designation change form
  • Required documents
  • Required fee

Links & Forms


New York

State ID Card or Driver’s License

New York allows M, F, or X. You choose the marker on the application and do not need a provider’s letter.

What You Need

  • Complete Form MV-44 and apply for a new or replacement license or non-driver ID.

Links & Forms

Birth Certificate

New York allows M, F, or X. You can apply directly to Vital Records without medical documents.

What You Need

  • Use Form DOH-5305 if you were born in New York State outside New York City.
  • New York City has a separate birth certificate process.

Links & Forms


North Carolina

State ID Card or Driver’s License

North Carolina allows M or F. You must use the state form and get an approved licensed professional to sign it.

What You Need

  • Complete Form DL-300 with an approved professional and apply for a replacement license or ID.

Links & Forms

Birth Certificate

North Carolina allows M or F. You do not need proof of surgery. You need a sworn statement plus one document that confirms your gender identity.

What You Need

Submit:

  • Sworn statement
  • One of the following:
    • Passport
    • State-issued ID
    • Certification from a licensed health care professional, social worker, or case manager
  • Birth certificate modification application
  • Other required documents

Links & Forms


North Dakota

State ID Card or Driver’s License

North Dakota allows M or F. You must use the state form and get an approved licensed professional to sign it.

What You Need

  • Complete Form SFN 61146 with an approved professional and apply for a replacement license or ID.

Links & Forms

Birth Certificate

North Dakota allows M or F. You need a court order and a medical provider’s certification that you had the surgery required by state law.

What You Need

Submit:

  • Court order
  • Provider certification
  • Amendment request
  • Identification
  • Required fee

Links & Forms


Ohio

State ID Card or Driver’s License

Ohio allows M or F. The state now requires an updated birth certificate or passport to change the marker on a license or ID.

What You Need

  • Bring an updated birth certificate or passport when you apply for a replacement license or ID.
  • The former Bureau of Motor Vehicles (BMV) Form 2369 is no longer the current process.

Birth Certificate

Ohio allows M or F. You need a court order. The sources do not clearly state what medical documents a judge may require.

What You Need

  • File Form 30.0 with a probate court and ask the court what other evidence it requires.

Links & Forms


Oklahoma

State ID Card or Driver’s License

Oklahoma does not currently allow gender marker changes on a driver’s license or state ID. The available markers are M and F.

What You Need

  • The former update rule was repealed in 2026.

Links & Forms

Birth Certificate

Oklahoma does not currently allow gender marker changes on birth certificates. The available markers are M and F.

What You Need

  • There is no current application process for this change.

Links & Forms


Oregon

State ID Card or Driver’s License

Oregon allows M, F, or X. You can use a simple process and do not need a provider’s letter.

What You Need

  • Apply for a new or replacement license or ID and choose the marker you want.

Links & Forms

Birth Certificate

Oregon allows M, F, or X. You can apply directly to Vital Records without medical documents.

What You Need

Complete these steps:

  • Complete and notarize the state application
  • Order a new copy of the birth certificate

Links & Forms


Pennsylvania

State ID Card or Driver’s License

Pennsylvania allows M, F, or X. You can use a simple form and do not need a provider’s letter.

What You Need

  • Complete Form DL-32 and apply for a replacement license or ID.

Links & Forms

Birth Certificate

Pennsylvania allows M or F on a birth certificate. A physician must state that you had appropriate clinical treatment for gender transition.

What You Need

Submit:

  • Notarized birth certificate correction form
  • Physician’s statement
  • Certified court order if you are also changing your legal name

Links & Forms


Rhode Island

State ID Card or Driver’s License

Rhode Island allows M, F, or X. You can use a simple form and do not need a provider’s letter.

What You Need

  • Complete the gender designation form and apply for a replacement license or ID.

Links & Forms

Birth Certificate

Rhode Island allows M, F, or X. You can apply directly to Vital Records without medical documents.

What You Need

Submit:

  • State application
  • Required identity documents
  • Required fee

Links & Forms


South Carolina

State ID Card or Driver’s License

South Carolina allows M or F. The state may require proof of surgery, a court order, or an updated birth certificate.

What You Need

  • Contact the South Carolina Department of Motor Vehicles before you go to confirm which documents it will accept.

Links & Forms

Birth Certificate

South Carolina allows M or F. The state’s process and medical-document requirements are not clear.

What You Need

  • Contact Vital Records before applying. You may need a court order, and the court may set other requirements.

Updated Certificate

South Carolina attaches an amendment to the original birth certificate.


South Dakota

State ID Card or Driver’s License

South Dakota allows M or F. The state does not publish a clear gender-marker update process.

What You Need

  • Contact Driver Licensing before you apply and ask what documents it currently requires.

Links & Forms

Birth Certificate

South Dakota does not currently allow gender marker changes on birth certificates. The available markers are M and F.

What You Need

  • There is no current application process for this change.

Links & Forms


Tennessee

State ID Card or Driver’s License

Tennessee does not currently allow gender marker changes on a driver’s license or state ID. The available markers are M and F.

What You Need

  • The former update process ended July 1, 2023.

Links & Forms

Birth Certificate

Tennessee does not allow gender marker changes on birth certificates. The available markers are M and F.

What You Need

  • There is no application process for this change.

Texas

State ID Card or Driver’s License

Texas does not currently allow gender marker changes on a driver’s license or state ID. The available markers are M and F.

What You Need

  • The state stopped processing these changes in August 2024.

Links & Forms

Birth Certificate

Texas does not currently allow gender marker changes on birth certificates. The available markers are M and F.

What You Need

  • The state stopped processing these changes in August 2024.

Links & Forms


Utah

State ID Card or Driver’s License

Utah allows M, F, or X. The state does not use a gender-marker form. It accepts a birth certificate or passport that already shows the updated marker.

What You Need

  • Bring the updated birth certificate or passport when you apply for a replacement license or ID.

Links & Forms

Birth Certificate

Utah allows M, F, or X. You need a court order. State law lists several facts the judge must consider, including medical history, care, or treatment related to transition.

What You Need

After you get a court order, submit:

  • Court order
  • Birth certificate application
  • Acceptable ID
  • Required fee

Links & Forms


Vermont

State ID Card or Driver’s License

Vermont allows M, F, or X. You can use a simple process and do not need a provider’s letter.

What You Need

  • Apply for a new or replacement license or non-driver ID and choose the marker you want.

Links & Forms

Birth Certificate

Vermont allows M, F, or X. You can apply directly to Vital Records without medical documents.

What You Need

Submit:

  • Application to correct or amend a Vermont birth certificate
  • Required documents
  • Required fee

Links & Forms


Virginia

State ID Card or Driver’s License

Virginia allows M, F, or X. You choose the marker on the regular application and do not need a provider’s letter.

What You Need

  • Use Form DL 1P to apply for a replacement license or ID.

Links & Forms

Birth Certificate

Virginia allows M or F on a birth certificate. A licensed provider must confirm that you had appropriate treatment for gender transition.

What You Need

Submit:

  • Form VS-42
  • Provider certification
  • Other required documents

Links & Forms


Washington

State ID Card or Driver’s License

Washington allows M, F, or X. You can use a simple form and do not need a provider’s letter.

What You Need

  • Complete Form DLE-520-043 and apply for a replacement license or ID.

Links & Forms

Birth Certificate

Washington allows M, F, or X. You can apply directly to Vital Records without medical documents.

What You Need

Submit:

  • Completed and notarized sex designation change form
  • Required documents
  • Required fee

Links & Forms


West Virginia

State ID Card or Driver’s License

West Virginia allows M or F. You must use the state form and get an approved licensed medical professional to sign it.

What You Need

  • Complete the Division of Motor Vehicles gender designation form and apply for a replacement license or ID.

Links & Forms

Birth Certificate

West Virginia allows M or F. You need a physician’s signature supporting your request and confirming appropriate treatment for gender transition.

What You Need

Submit:

  • Notarized correction affidavit
  • Sex designation form signed by a physician
  • Certified-copy application
  • Required fee

Links & Forms


Wisconsin

State ID Card or Driver’s License

Wisconsin allows M or F. The state does not use a specific gender-marker form. It accepts a licensed physician’s signed statement or a certified court order that confirms your gender transition.

What You Need

  • Bring the physician statement or certified court order to a Department of Motor Vehicles customer service center.

Links & Forms

Birth Certificate

Wisconsin allows M or F. You need a court order and proof of surgery.

What You Need

Submit:

  • Court order
  • Proof of surgery
  • Birth certificate application
  • Identification
  • Required fee

Links & Forms


Wyoming

State ID Card or Driver’s License

Wyoming allows M or F. The state no longer publishes a gender-marker update form or a clear process.

What You Need

  • Contact Driver Services before you apply and ask what documents it currently requires.

Birth Certificate

Wyoming does not currently allow gender marker changes on birth certificates. The available markers are M and F.

What You Need

  • There is no current application process for this change.

Links & Forms