New York Notarized Affidavit of Gender Change for a Person 17 Years of Age or Older (DOH-5303)
Official state formSex designation changeForm DOH-5303Free downloadLast verified November 10, 2026
Notarized affidavit a person 17 or older signs to support an application to amend the gender designation on their birth certificate. It is enclosed with the adult application (DOH-5305) sent to the New York State Department of Health.
Who can use this form
- A person who is currently 17 years of age or older and is seeking to amend the gender designation on their own birth certificate.
- The person states that they have been living in their correct gender immediately before the application.
- The person signs in front of a notary public.
What to send with it
- The completed affidavit, signed and notarized.
- The Application for Amendment of Certificate of Birth for Gender Designation for an Adult (DOH-5305), which this affidavit goes with.
Where to send it
- Mail to
- See the form for where to file it.
- State fee
- Not provided
- Typical processing
- Not provided
- Form revision
- 1/23
- Source
- Official government page