West Virginia Sex Designation Form
Official state formSex designation changeFree downloadLast verified November 10, 2026
Affidavit completed by the applicant and a physician to change the sex listed on a West Virginia birth certificate. It goes to the Health Statistics Center.
Who can use this form
- The applicant named on the birth certificate
- The applicant's licensed physician completes the physician section
What to send with it
- This form completed by the applicant and the physician
- Application for a certified copy of a birth certificate, plus any applicable fees
- The affidavit to correct a birth certificate, for an adult or for a minor
Where to send it
- Mail to
- See the form for where to file it.
- State fee
- Not provided
- Typical processing
- Not provided
- Source
- Official government page