Change of Sex Forms
The Circuit Court Clerks' Manual - Civil was updated in July 2020.
"An application to amend a birth certificate to indicate a change of sex will be filed directly with the Virginia Department of Health for persons born in the Commonwealth."
Form for changing sex designation -
https://www.vdh.virginia.gov/content/uploads/sites/93/2020/07/VS42_Gender-Designation-Form.pdf
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