Washington state offers three gender options for birth certificates

Washington state residents who dont identify as male or female will soon be able to choose X as their gender on birth certificates.Starting January 27, they will be able to identify as male, female or X on birth certificates. The policy lets Washingtonians change existing documents; it does not apply to new ones.The rule, announced Thursday by the state Department of Health, defines X as the following:A gender that is not exclusively male or female, including, but not limited to, intersex, agender, amalgagender, androgynous, bigender, demigender, female-to-male, genderfluid, genderqueer, male-to-female, neutrois, nonbinary, pangender, third sex, transgender, transsexual, Two Spirit, and unspecified

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