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WISCONSIN
Statute: Wis Stat Ann 69.15 (2003)
Wisconsin will change name and sex on the birth certificate.
You will need a certified copy of your court order for name change as well as a certified copy of a court order for change of gender (two separate court orders). You will need a signed, dated, notarized letter from your surgeon confirming the date of the procedure. The surgeon should include your name, date of birth, date of surgery, type of surgery (M to F), and where it was performed. Finally, you will need your original birth certificate or a certified copy.
Additional information about “impounding your old birth certificate”:
Send letter explaining that you are transsexual and seek to amend your name and sex and have the original birth record impounded. They will send you a form called:’ Report of order to change name and sex on birth certificate due to surgical sex-change procedure (form DOH 5035). This form can be used by any state to order information on a Wisconsin birth record to be changed. Remember, your current state of residence may have their own rules as to what they are authorized to order another state to change on a birth record. You will need to check state law yourself or contact you courthouse or legal advisor.
Fill out form DOH 5035 exactly as specified, making sure that you mark the box that orders the birth certificate be “impounded and a new birth certificate shall be created for the registrant.”
If your state of residence allows ordering the record to be impounded, you can get the order certified where you live (otherwise, you should see about returning to Wisconsin and doing it in person). Go to your county courthouse, where the Clerk of court or Deputy can assist you in preparing the proper forms. It is very likely you will have to pay a fee, and it is also likely you will need to appear before a judge. The cost for the appearance will likely vary.
The Wisconsin Department of Health and Family Services is directed, upon receipt of appropriate fees, to make the following changes on this birth record:
1.) Amend the name as specified on Form DOH 5035 to read (new name)
2.) Amend the sex to the appropriate gender.
3.) Impound the old record and create a new birth certificate for the registrant.
The Clerk of Court is so ordered to certify the Order to Change Name and Sex on Birth Certificate due to surgical sex-change procedure.
Return the form imprinted with the court seal along with the appropriate fees.
CODE:
Text: (1) BIRTH CERTIFICATE INFORMATION CHANGES. The state registrar may change information on a birth certificate registered in the state which was correct at the time the birth certificate was filed under court or administrative order issued in this state, in another state or Canada or under the valid order of a court of any federally recognized Indian tribe, band or nation if: (a,) the order provides for an adoption, name change with sex change or establishes paternity, and: (b) a clerk of court or, for a paternity action, a clerk of court or county child support agency under s. 59.53 (5), sends the state registrar a certified report of an order of a court in this state on a from supplied by the state registrar or, in the case of any other order, the state registrar receives a certified copy of the order and the proper fee.
CONTACT INFORMATION:
Hal Hart
Special Records Lead Worker
Vital Records Section
Bureau of Health Information & Policy
Division of Public Health
1 West Wilson St, Rm 158
Madison, WI 53702
(608) 267-0914
http://folio.legis.state.wi.us
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