Every individual must complete the “Affidavit for a New Birth Certificate After Completion of Gender Reassignment”. The applicant must be of legal age or the parent/co-parent or guardian if not of legal age. This form must be completed in its entirety and notarized.

For individuals who have had an operation(s) in the United States, the “Affidavit by Physician After Completion of Gender Reassignment” must be completed by the physician who performed the operation(s). This form must be completed in its entirety and notarized.

For individuals who have had an operation(s) outside of the United States, the “Affidavit by Physician Verifying Completion of Gender Reassignment Operation” must be completed by an examining physician duly licensed to practice medicine in Illinois or any other state in the United States. This form can also be used if the physician who performed the operation is no longer practicing, is unavailable or his/her license has been revoked or expired. This form must be completed in its entirety and notarized.

For individuals seeking to have their name changed, a certified copy of the Court Order of Legal Name Change must also be submitted to this office.

The $15 fee to create a new birth record due to gender reassignment includes one certified copy of the new birth record. Additional copies of the same record requested at the same time are $2 each. Please make check or money order payable to the “Illinois Department of Public Health” and send everything to:

Illinois Department of Public Health
Division of Vital Records
925 East Ridgely Ave.
Springfield, IL 62702-2737  

Please include a legible/readable copy of your non-expired, government issued photo identification card. If not provided, unreadable or expired, the request will be returned to the individual.

LINKS

Vital Records Act
Illinois Vital Records Code (rules)
County Vital Records Web Sites or County Clerk Addresses