Immigration Services

Overview of necessary documents

As of 2012, US Citizenship and Immigration Services will issue an initial or updated document reflecting the individual’s post-transition gender if the individual presents the following:

  • An amended birth certificate, passport, or court order recognizing the new gender;
  • Medical certification of the change in gender from a licensed physician (a Doctor of Medicine (M.D.) or Doctor of Osteopathy (D.O.)). Medical certification of gender transition received from a licensed physician (an M.D. or D.O.) is sufficient documentation, alone, of gender change. Additional information about medical certifications:
    • For the purposes of this chapter, only an M.D. or a D.O. qualifies as a licensed physician. Officers may accept medical certifications from any number of specialties as well as from general practitioners.
    • Statements from persons who are not licensed physicians, such as psychologists, physician assistants, nurse practitioners, social workers, health practitioners, chiropractors, are not acceptable.
    • The medical certification should include the following information:  
  • Physician’s full name;
  • Medical license or certificate number;  
  • Issuing state, country, or other jurisdiction of medical license/certificate;
  •  Drug Enforcement Administration registration number assigned to the doctor or comparable foreign registration number, if applicable;
  •  Address and telephone number of the physician;
  • Language stating that that the individual has had appropriate clinical treatment for gender transition to the new gender (male or female);
  •  Language stating that he/she has either treated the applicant in relation to the applicant’s change in gender or has reviewed and evaluated the medical history of the applicant in relation to the applicant’s change in gender and that he/she has a doctor/patient relationship with the applicant; and
  • The applicant must submit evidence that any name change was completed according to the relevant state or foreign law;
  • The applicant may also be asked to submit acceptable evidence of identity in the new gender, if available. State law and foreign laws vary as to whether a driver’s license or other form of government issued identity document may be issued reflecting a gender change. If evidence of change of gender in the identity documents is not obtainable because of state, local or foreign requirements, the document may still be issued in the new gender based on the medical certification; and
  • A recent facial photograph that reflects a good likeness of, and satisfactorily identifies the applicant must be submitted. The photograph must agree with the submitted identification evidence and reflect the applicant’s current and true appearance. This can be submitted with the application or provided through biometrics collection at an Application Support Center.

NOTE: Proof of sex reassignment surgery is not required to issue the requested document in the new gender and evidence of such surgery will not be requested. If such surgery has taken place, a statement to that effect in the medical certification is sufficient to establish the fact. USCIS will not ask for records relating to any such surgery.

Employment Authorization card

Required Documents:

  • Filing fee of $380 (subject to change) or a Fee Waiver
  • Two passport-style photographs  
  • Supporting documentation
  • If changing name, a court order for name change or other proof of legal name change.
  • If changing gender, a birth certificate, passport, or court order recognizing the new gender, OR a letter from a licensed physician certifying the change in gender, as shown in the sample letter.

Permanent Resident Card

To change the name and/or gender marker on a Permanent Resident Card, you must submit:

  • Filing fee of $450 (subject to change) or a Fee Waiver
  • Supporting documentation
  • If changing name, a court order for name change or other proof of legal name change.
  • If changing gender, a birth certificate, passport, or court order recognizing the new gender, OR a letter from a licensed physician

Naturalization Card

To change the name and/or gender marker on a naturalization certificate, you must submit:

  • Filing fee of $345 (subject to change) or a Fee Waiver
  • Two passport-style photographs  
  • Supporting documentation
  • If changing name, a court order for name change or other proof of legal name change.
  • If changing gender, a birth certificate, passport, or court order recognizing the new gender, OR a letter from a licensed physician certifying the change in gender, as shown in the sample letter.