641—99.20 (144) Certificate of live birth following sex designation change.
	 99.20(1) After surgery or other treatment to change a sex designation, the registrant shall submit to the state registrar a notarized affidavit from the physician and surgeon, or osteopathic physician and surgeon, completing the sex designation treatment stating the following:
	  a.   	 The sex designation has been permanently changed by surgery or other treatment;
	  b.   	 Description of the medical procedures; and
	  c.   	 The physician and surgeon or osteopathic physician and surgeon’s full name, address, state of medical license, and medical license number.
	 99.20(2) The medical affidavit shall be accompanied by a completed and notarized Amendment to Certificate of Live Birth form.
	 99.20(3) If the registrant’s name is to be changed on the certificate of live birth, the registrant shall submit to the state registrar a certified copy of the court-ordered change of name.
	 99.20(4) Pursuant to Iowa Code section 144.23, the state registrar may make further investigation or require further information necessary to determine whether a sex change has occurred.
	 99.20(5) The county registrar and the state registrar shall seal the original certificate of live birth. The state registrar shall place the original certificate of live birth and all related documents in a sealed file, and the file shall not be opened and inspected except by the state registrar for administrative purposes or upon an order from a court of competent jurisdiction pursuant to Iowa Code section 144.24.
	 99.20(6) The certificate of live birth after the sex designation change shall not be on file at the county registrar’s office pursuant to rule 641—95.7(144).
	 99.20(7) The new certificate of live birth shall not be marked “amended.”
	 99.20(8) Administrative fees shall be charged and remitted pursuant to rule 641—95.6(144).
	 99.20(9) Any incorrect certified copies of the certificate shall be surrendered for replacement at no cost. Additional certified copies of the new certificate shall be acquired upon receipt of a notarized application, legible copy of a current government-issued photo identification or other identification documents acceptable to the state registrar and payment of the fee pursuant to rule 641—95.6(144).
[ARC 0483C, IAB 12/12/12, effective 1/16/13]