New York Application for Amendment of Certificate of Birth for Gender Designation for an Adult (17 or Older) (DOH-5305)
Official state formSex designation changeForm DOH-5305Free downloadLast verified November 10, 2026
Application a person 17 years of age or older, born in New York State outside New York City, uses to amend the gender designation on their birth certificate. It is sent to the New York State Department of Health with the notarized affidavit DOH-5303.
Who can use this form
- A person 17 years of age or older.
- For persons born in New York State, outside of New York City.
- The applicant signs the application.
What to send with it
- The completed and signed application showing the gender, and any name, as it appears now and as it should appear.
- A Notarized Affidavit of Gender Change for a Person 17 Years of Age or Older (form DOH-5303).
- If you are also requesting a name change: a copy of the court order that authorizes it.
- A copy of your birth certificate, if available.
Where to send it
- Mail to
- New York State Department of Health Vital Records Correction Unit P.O. Box 2602 Albany, NY 12220-2602
- State fee
- The form prints no fee. The office's birth corrections instructions (August 2020) say there is no fee for a correction or an amendment, a certified copy of a corrected record costs $30, and one amended birth certificate is issued free of charge after an amendment.
- Typical processing
- Not provided
- Form revision
- 1/23
- Source
- Official government page