Last updated November 2023
The Virginia Department of Health lists the following requirements to update the gender marker on a Virginia birth certificate:
- A request from the individual or their parent (if the individual is under the age of 18)
- A copy of valid ID from the requestor
- A properly executed Changing Sex Designation (VS42) form
- A certified copy of a court order changing the person’s name if applicable. Please note a copy of the name change petition/application is needed if the court order does not show the individual’s name at birth, date of birth and place of birth.
- $10 administrative fee to establish the new birth certificate
- $12 for each certified birth certificate requested
The Changing Sex Designation (VS42) requires a licensed healthcare provider to certify that they have provided the applicant with clinically appropriate treatment for gender transition. No specific procedure or diagnosis is required. Virginia also no longer requires the applicant to obtain a court-ordered change of gender.
Mail application, VS42, supporting documentation, and a check for the appropriate amount made out to the Virginia Department of Health, to:
VDH, Division of Vital Records
P.O. Box 1000
Richmond, Virginia
23218-1000