Read these instructions carefully!

This page will help you create a court petition to change your birth certificate. You will also need to create a court order for the probate judge to sign. Or you can work on all of these documents at once.

When printing this document, set Margins to None in your browser's print settings. Otherwise, the document won't print consistently.

After you've printed the petition, do not sign it yet. You will need to bring a valid photo ID and the document to a notary and sign the document in front of them. Notaries are typically available through your bank for free, or may be available through your local library for $1 per document.

  1. EXPERIMENTAL: If you do not reside in (filing county) County, indicate that here (so we can remove the line in the petition that claims you do reside there): (filing county residency)
  2. EXPERIMENTAL: If you are getting your petition notarized in a different county than you're planning to file it in, enter that county here. Otherwise, leave this blank and we'll default to your filing county: (notary county)

PROBATE COURT OF (filing county) COUNTY, ALABAMA

In re: (full legal name),
Petitioner. 		)
) 		Case No.:

VERIFIED PETITION TO MODIFY BIRTH CERTIFICATE

COMES NOW (full legal name), pro se, and petitions this Honorable Court to grant a modification in Petitioner's birth certificate, and in support therefor states as follows:

  1. I reside in (filing county) County, Alabama, such that jurisdiction and venue are proper in this Court.
  2. I am over eighteen (18) years of age.
  3. I have undergone all medically-indicated treatments, procedures and/or surgeries that are irreversible for the purpose of gender transition from that of a (gender on birth certificate, male/female) to a (gender desired on birth certificate).
  4. In support of this Petition, I have attached hereto a letter from my medical provider, Dr. (doctor) (see Exhibit A).
  5. I have previously filed a petition to have my name legally changed, and said Petition was granted by (name change county) (name change county output) (Case No. (name change case number) via Order Changing Name entered (name change case date), and a copy of said Decree is attached hereto (see Exhibit B).
  6. Ala. Code (1975) Section 22-9a-19 permits an individual whose sex has been changed by surgical procedure and who has obtained a legal name change to have a court order their gender marker reflect their new sex.
  7. This petition is not submitted with the intention of defrauding another of any rights.

WHEREFORE, PREMISES CONSIDERED, I respectfully request that this Court issue an Order indicating that Petitioner has undergone all medically-indicated treatments, procedures and/or surgeries that are irreversible for the purpose of gender transition from that of a (gender on birth certificate, male/female) to a (gender desired on birth certificate) and that Petitioner has, by Order of the Court, had (his/her) name changed pursuant to the requirements of issuing a new birth certificate reflecting the foregoing changes.

Respectfully submitted this the
day of
, 20
.

(full legal name), Petitioner
(full address)
(telephone number)
STATE OF ALABAMA
(notary county output) COUNTY

I, , a Notary Public in and for said County, in said State, hereby certify that (full legal name), whose name is signed to the foregoing Verified Petition to Modify Birth Certificate and who is known to me, acknowledged before me, on this day, that, being informed of the contents of this conveyance, the Petitioner has executed the same voluntarily, on the day the same bears date.

Given under my hand, this the day of , 20.


Notary Public
My commission expires: