Virginia Form for Changing Sex Designation (VS42)
Official state formSex designation changeForm VS42Free downloadLast verified November 10, 2026
A licensed health care provider completes this form to state that a person born in Virginia has had clinically appropriate treatment for gender transition. It goes to the state vital records office so a new birth certificate can be issued.
Who can use this form
- Completed and signed by the licensed health care provider who gave the person the treatment.
- The request itself comes from the person, or from a parent if the person is under 18.
- The form offers only male or female.
What to send with it
- The VS42 with the provider's signature and date in live ink.
- A request from the person or parent. The office's page links the Application for Certification of a Birth Record.
- A copy of the requester's valid ID.
- If the name was changed: a certified copy of the court order.
- A copy of the name change petition if the order does not show the name at birth and the date and place of birth.
Where to send it
- Mail to
- Virginia Department of Health, Division of Vital Records P. O. Box 1000 Richmond Virginia 23218
- State fee
- The form does not state a fee. The office's page lists a $10 administrative fee to establish the new birth certificate plus $15 for each certified birth certificate requested.
- Typical processing
- Not provided
- Form revision
- 07/2020
- Source
- Official government page