New York Parent or Legal Guardian Notarized Affidavit of Gender for a Person 16 Years of Age or Under (DOH-5304)
Official state formSex designation changeForm DOH-5304Free downloadLast verified November 10, 2026
Notarized affidavit parents or legal guardians sign to support an application to amend the gender designation on a minor's birth certificate. It is enclosed with the minor application (DOH-5306) sent to the New York State Department of Health.
Who can use this form
- The legal parents or legal guardians of a minor who is currently 16 years of age or under.
- Both parents or legal guardians must sign. A sole parent or legal guardian signs alone and checks the box that says so.
- Each signature is made in front of a notary public.
What to send with it
- The completed affidavit, signed and notarized.
- The Parent/Legal Guardian Application for Amendment of Certificate of Birth for Gender Designation for a Minor (DOH-5306), 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