Hawaii Birth Record Sex Redesignation Affidavit and Application
Official state formSex designation changeFree downloadLast verified November 10, 2026
Sworn affidavit and application asking the Hawaii Department of Health to amend the sex on a Hawaii birth record under HRS 338-17.7(a)(4). It is signed before a notary or Department of Health personnel and goes with the Physician's Affidavit.
Who can use this form
- The person named on the birth certificate (the registrant) signs as affiant.
- The birth must be on file with the Hawaii Department of Health.
- A U.S. licensed physician must complete a separate Physician's Affidavit.
What to send with it
- This affidavit, signed before a notary or Department of Health personnel.
- The notarized Physician's Affidavit from a U.S. licensed physician.
- Proof of a legal name change, if the new certificate should show a new name.
- $3 fee for each item amended.
Where to send it
- Mail to
- Department of Health - Office of Health Status Monitoring Registration/Corrections Section P.O. Box 3378 Honolulu, Hawaii 96801-3378
- State fee
- $3 per amended item
- Typical processing
- Not provided
- Source
- Official government page