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States aside from Kansas and Florida enable the gender marker to be modified on a driver's license, although the requirements for doing so range by state. New York State and New York City each handed legislation in 2014 to ease the method for changing intercourse on the delivery certificate, eliminating the requirement for proof of surgical procedure. Some courts require medical or psychiatric documentation to justify a name change, despite having no similar requirement for people changing names for causes apart from gender transitioning. Nevada eradicated the surgical procedure requirement in November 2016. It requires an affidavit from the particular person making the change and an affidavit who can attest that the information is correct. Kansas began allowing modifications to the gender marker in June 2019. The individual must signal an affidavit. If they don't have already got documentation (driver's license or passport) with their most well-liked gender marker, they should convey a letter from a doctor or psychotherapist affirming their gender, however they do not need proof of surgery. Sometimes, the states' necessities and legal guidelines battle with and are dependent on one another; for example, a transgender lady who was born in Tennessee but dwelling in Kentucky will likely be unable to have the gender marker changed on her Kentucky driver's license.