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Vermont · Birth

Vermont Affidavit of Gender Identity

Official state formSex designation changeFree downloadLast verified November 10, 2026

Use this affidavit to change the sex shown on a Vermont birth certificate to Male, Female or X. It is signed in front of a notary and mailed to the Vital Records office in Waterbury.

Who can use this form

  • The registrant, age 16 or older.
  • A parent or legal guardian of a registrant under 16.

What to send with it

  • The affidavit, signed in front of a notary.
  • A separate application and fee for a certified copy of the amended certificate.

Where to send it

Mail to
Vermont Department of Health Vital Records 280 State Drive Waterbury, VT 05671-8370
State fee
No fee is stated for the amendment. A certified copy needs a separate application and fee.
Typical processing
Not provided
Form revision
April 2026
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Vermont Affidavit of Gender Identity | Vermont Form