Gender Marker – Ontario

Birth Certificates
In Ontario, the process for changing your gender marker on your birth certificate is age-dependent. If you are 15 or under, a parent with legal custody must apply on your behalf. If you are 16 or 17 you can apply as an adult or as a child. If you are 18 years of age or older, you will apply as an adult.
In all cases, your birth must have been registered in Ontario. Between April 30, 2018 and April 2019, the fee for changing your sex designation will be waived.
In May 2018, Ontario issued its first non-binary birth certificate (‘X’ as sex designation). If an individual wishes, they may also choose not to have a sex designation displayed on their birth certificate.

18 Years of Age or Older (Adult)
As an adult, the following requirements must be met to change your gender marker:

  1. A completed Application for Change of Sex Designation (Adult) formand
  2. A completed Payment formand
  3. A completed Statutory Declaration for a Change of Sex Designation (Adult) formand
  4. A letter from a practicing physician or psychologist authorized to practice in Canada that includes statements necessary to support your request; and
  5. All of your previously issued birth certificates or certified copies thereof; and
  6. A completed Application for a Birth Certificate form.

15 Years of Age or Under
If an individual is under 16 years of age and wishes to change their name, a person with legal custody of the individual must apply on their behalf. That person must provide the following when applying:

  1. A completed Application for Change of Sex Designation (Child) formand
  2. A completed Payment formand
  3. A completed Statutory Declaration for Change of Sex Designation (Child) formand
  4. A completed Consent Form providing the written consent of the child; and
  5. A completed Consent Form providing the written consent of all persons with legal custody of the child; and
  6. Proof of Notice to all persons with legal access to the child; and
  7. A letter from a practicing physician or psychologist authorized to practice in Canada that includes statements necessary to support the child’s requested change; and
  8. All of your previously issued birth certificates or certified copies thereof; and
  9. A completed Application for a Birth Certificate form.

Sources: Service Ontario – Changing Your Sex Designation on Your Birth Registration and Birth Certificate.

Health Cards
As of June 13, 2016, the Ontario government is now issuing health cards that do not have a sex marker indicated. These health cards are still considered a valid form of identification, with one exception: passports. Health cards that do not indicate the applicant’s sex cannot be used as a form of identification for passport applications or renewals.

There is no fee to get a new health card.

Sources: Service Ontario – Gender on Health Cards and Driver’s Licenses.

Driver’s Licenses
As of May 1, 2017, the Ontario government began issuing driver’s licenses that have an ‘X’ option for gender. Gender identity is therefore the default information that is collected, used, retained, and displayed on government forms and IDs. Sex designation is only collected and used when it is required to deliver, monitor or improve the product or service.

If you wish to change your gender marker on your driver’s license to ‘X’, you must visit a Service Ontario centre; no supporting documents are required. For further information, click here.

If you wish to change you designation from ‘F’ to ‘M’ or ‘M’ to ‘F’, supporting documentation is still required, in either the form of a letter(s) from a doctor/surgeon/psychologist registered in Ontario or documents from a recognized specialist related to surgeries undergone. For more information, click here.

​Sources: Service Ontario – Changing Sex Designation on Your Government IDs.