Report Problem Changing a State or Federal Document Please fill out this form as completely as possible. Contact information given here is strictly confidential, and will be used to inform you of MTPC’s future advocacy efforts. * = required Documentation TypeMA Document Type *Marriage CertificateBirth CertificateDeath CertificateDriver's LicenseState-issued IDUS PassportSocial Security Record or IDOther Official Federal Document About YouFirst Name * Last Name * Address 1 Address 2 City/Town * State *AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Email * Phone Weekdays, do NOT call before: 010203040506070809101112HH000510152025303540455055MMAMPMAM/PM Weekdays, do NOT call after: 010203040506070809101112HH000510152025303540455055MMAMPMAM/PM Basic InformationLocation: * Date it happened (approximate OK) * What you attempted to change: *NameGender Obtained Result: Gender ChangedName ChangedBoth ChangedNeither Changed What documentation did you show? Did you submit a letter from your doctor? *YesNo If yes, what type of doctor (surgeon, internist, etc.) What other documentation did you show? How easy was changing your document? *VerySomewhatNot at all Was the staff Respectful? *VerySomewhatNot at all Was the staff Knowledgeable? *VerySomewhatNot at all Was the staff Helpful? *VerySomewhatNot at all Narrative What happened & how you felt about it: VerificationPlease enter any two digits with no spaces (Example: 12) *This box is for spam protection - please leave it blank Share this:FacebookTwitterGooglePrintMoreTumblrLinkedInPinterest