Locally-issued domestic partnership certificates not recognized by a state cannot be used for this purpose. Note: Marriage, civil union, or domestic partnership certificates showing a name change can be used so long as they are recognized by the issuing state. The new card will be sent to you in the mail, as will any original documents submitted with your application. Certificate of citizenship or naturalization (original only).Divorce decree (original or certified copy) or,.Marriage, civil union, or domestic partnership certificate (original or certified copy).Name change court order (original or certified copy).In general, SSA will accept any of the following as proof of a name change: You will need to submit an Application for a Social Security Card, proof of your identity and citizenship or immigration status, as well as acceptable proof of the name change. This can be done separately from, or together with, applying for a gender change. You can change the name on your Social Security card and record by applying through the mail or in person at a local Social Security office. You can download a sample physician letter here. I declare under penalty of perjury under the laws of the United States that the foregoing is true and correct. Name of Patient has had appropriate clinical treatment for transition to (specify male or female). State/Foreign Country of medical license/certificate, am the physician of Name of Patient, Date of Birth of Patient, with whom I have a doctor/patient relationship and whom I have treated, or with whom I have a doctor/patient relationship and whose medical history I have reviewed and evaluated. I, P hysician’s Full Name, Physician’s medical license or certificate number, Issuing U.S. The following is an example of a letter that meets all the Social Security requirements: (This may be any physician who is familiar with your treatment, including a primary care physician or a specialist.) All certifications must be on the physician’s office letterhead and include all information seen in the sample letter below, including the physician’s license or certificate number. If you use a physician letter, it must come from a licensed physician with whom you have a patient relationship and who is familiar with your transition-related treatment.
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