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State issues new birth certificate after sex reassignment (26 states)
State amends existing birth certificate after sex reassignment (21 states + D.C.)
State does not issue new birth certificate or amend existing documents (3 states)
NOTE:In states that amend but do not re-issue birth certificates, it is obvious that the person's name and gender have been changed on the document.
This has privacy and safety implications for the person to whom the amended birth certificate has been issued.
56% of LGBT population live in states that issue new birth certificates40% of LGBT population live in states that amend existing birth certificates5% of LGBT population live in states that not issue new birth certificates or amend existing documents
Birth Certificate Laws by State
Indicates a policy or law that addresses birth certificates