Starting January 1, 2019, New York City will update the gender label on a birth certificate to male, female, or X upon self-attestation by the applicant of their gender. The applicant will be able to do so without a doctor's note or medical assessment. Now parents can choose "X" for their children, and adults can select the marker for themselves as long as they attest the change is "not for any fraudulent purpose," the form states. New York City Mayor Bill de Blasio signed the measure into law on Tuesday, marking a breakthrough in a years-long struggle for advocates.
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