1. A letter signed by the doctor performing the surgery (on his letterhead) which is also witnessed by a Notary Public stating that the surgery has been done.
2. A certified copy of the name change order
3. Birth info: parent, names, date and place of birth, original birth name (just send a copy of the birth certificate).
4. Address where they should send the new birth certificate (takes 2 to 3 weeks to process).
5. Check or money order for the fee $17.00- payable to Department of Health

Department of Health
Attn; Legal Name Change
PO Box 9709
Olympia, WA 98507-9709

Our state and administrative code is silent about amending vital records. We have an unpublished office policy that has been used for many years to guide us through a variety of correction issues. A transgender individual has various items to consider on their birth certificate. 1.) name 2.) sex (The name is updated via a legal, court ordered name change. It is generally a straightforward step and can be filed with our office before or at the same time as they file for a correction to the sex. For this discussion, a sex change is one done intentionally by the individual, as opposed to an administrative error by the hospital which filed the birth record. The sex change can be accomplished through court order, although very few courts want to handle this type of case. The more common option is via documentation, on letterhead, from the surgeon that the physical steps have been taken. The supporting documentation is placed in a sealed file that we don’t make available to the public. I am no sure what else I can provide you in terms of documentation. Any further questions are welcome.

Philip Freeman, Manage
Statistical Services Center for Health Statistics
(360) 236-4330
Fax (360) 753-4135