Standard application for a Gender Recognition Certificate
This form should be used by applicants for a Gender Recognition Certificate who are not applying using either the alternative application route/track or the overseas process.
Applicants applying under this process must demonstrate that they have lived full time in their acquired gender for at least two years.
Before you start, please read the document ‘The General Guide for All Users’(The General Guide), which explains the gender recognition process. Please note that the Marriage (Same Sex Couples) Act 2013, the Marriage and Civil Partnership (Scotland) Act 2014 , the Civil Partnership (Opposite- sex Couples) Regulations 2019 and The Marriage (Same-sex Couples) and Civil Partnership (Opposite-sex Couples) (Northern Ireland) Regulations 2019 introduced changes into the gender recognition process, particularly for those who are married or in a civil partnership.
The General Guide explains the consequences of applying for a Gender Recognition Certificate and the options open to you, particularly if you are married or in a civil partnership
The Guidance Notes (see ‘Guidance on Completing the Standard Application Form for a Gender Recognition Certificate’) should answer most of the questions you may have. We recommend that you read the notes before completing each section of the form. If you do find it difficult to complete on your own, you could ask a friend or someone from a support organisation to help you, or you can telephone the Gender Recognition Panel (GRP) administrative team on
+44 (0) 2039368963.
You must complete sections 1, 2, 5, 6, 7, 10, 11, 12 and EITHER section 3 OR section 4, which ever applies to you and section 8 or 9 if you are married or in a civil partnership.
Please use black ink when completing this form.
The information in this publication is available in alternative formats on request. Please contact the GRP administrative team on +44 (0) 2039368963 or grpenquiries@justice.gov.uk
T450 Application for a Gender Recognition Certificate (07.21) © Crown copyright 2021
The names and title that you provide below will be used in all correspondence relating to your application.
1.1 Your preferred title
1.2 Full name you would like us to use when contacting you
1.3 Postal address
postcode
1.4 How would you like us to contact you if we have any questions.
Post Phone Email
1.5 If you would like to be contacted by telephone please give a daytime number and the times and days when you will be available.
Phone number
Times and days available
1.6 If you would like us to contact you by e-mail, please provide your address.
Please remember that e-mail cannot be guaranteed as secure.
1.7 If possible, please list any dates when you know you will be unavailable for any periods of more than a week over the next six months.
2.1 Surname you wish to be recorded on a Gender Recognition Certificate.
2.2 First name(s) you wish to be recorded on a Gender Recognition Certificate.
2.3 Password (between six and 10 letters. Numbers must not be used).
2.4 Why is this password significant to you?
C. You should read the guidance to the sections below before you decide whether to provide your National Insurance number.
2.5 Please enter your National Insurance number here.
2.6 If you are granted a full Gender Recognition Certificate do you want the Panel to pass this information to HM Revenue & Customs?
Yes No
If No, and your application is successful you are legally obliged to pass on this information to HM Revenue & Customs. This will mean sending your Gender Recognition Certificate and National Insurance number to the HM Revenue & Custom.
This service only applies to UK tax payers. We are not able to inform the authorities in the Isle of Man or Channel Islands.
If your birth was registered in the UK you must complete this section. This also applies if you were born to a UK citizen abroad but registered by a Forces registering officer, or with the British Consul or High Commission, or born on board a ship, aeroplane or hovercraft and registered under the Merchant Shipping or Civil Aviation provisions.
Please note, if you are adopted we require your adoptive parents’ details (as shown on your birth certificate).
3.1 Your surname as recorded on birth or adoption certificate
3.2 Your forename(s) as recorded on birth or adoption certificate
3.3 Gender as stated on birth or adoption certificate
Male/Boy Female/Girl
3.4 Date of birth
D D / M M / Y Y Y Y
3.5 Place of birth
3.6 Father’s Surname (if listed)
3.7 Father’s forename(s) (if listed)
3.8 Mother’s maiden name
3.9 Mother’s forename(s)
It will help the relevant Registrar General to locate your original birth record if you provide the following information, if it applies to you.
3.10 If you know you were adopted in the United Kingdom, please tick here
3.11 If your birth was registered by a Forces registering service, or with a British Consul or High Commission, or under Merchant Shipping or Civil Aviation provisions,
please tick here
If your birth was registered outside the UK you must complete this section. If not please proceed to section 5.
Please provide your original birth certificate or other official confirmation of your date of birth and birth gender and supply the information requested below.
4.1 Your surname as recorded on birth or adoption certificate
4.2 Your forename(s) as recorded on birth or adoption certificate
4.3 Gender as stated on birth or adoption certificate
4.4
D
D
/
M
M
/
Y
Y
Y
Y
Date of birth
4.5 Country where birth is registered
If you are unable to supply certain pieces of information in section 4, above, please use the box below to explain why (continue on additional paper if required and include it on the list of evidence you have supplied in section 11).
As part of your application, you must provide evidence to demonstrate that you have lived full time in your acquired gender for at least two years (up to the date of your application).
The evidence can take the form of letters from official documents such as a passport or driving licence, letters or documents from official, professional or business organisations or utility bills. Please see accompanying Guidance Notes for more details. If the evidence is in a different name to the one you have used on this form, you will need to show that it does relate to you.
D
D
/
M
M
/
Y
Y
Y
Y
5.1 Please give the date from which you can provide evidence that you have lived full time in your acquired gender
Please use the box in section 11 of this application form to list the evidence you will provide.
6. Medical Report A (Provided by a practitioner in the field of gender dysphoria) Note: the Gender Recognition Panel do not commission medical reports on your behalf.
The guidance notes to section 6 explain the nature of the report that is required. Please include the original report as given to you by your medical practitioner/registered psychologist; with your application and fill in the boxes below.
6A.1 Name of registered medical practitioner or registered psychologist practising in the field of gender dysphoria who provided the report
6A.2 Professional address (if the individual is still practising)
6A.3 Daytime contact number
Note: the Gender Recognition Panel do not commission medical reports on your behalf.
The guidance notes to section 6 explain the nature of the report that is required. Please include the original report as given to you by your medical practitioner/registered psychologist; with your application and fill in the boxes below.
6B.1 Name of registered medical practitioner or registered psychologist who provided the report. The practitioner does not have to be practising in the field of gender dysphoria
6B.2 Professional address (if the individual is still practising)
6B.3 Daytime contact number
You are required to provide a statutory declaration making several statements about your circumstances and your application. This is to ensure that you meet the criteria for the grant of a Gender Recognition Certificate. The type of statutory declaration you will complete will depend on whether you are currently single, married or in a civil partnership. There are separate statutory declaration forms with guidance to help you understand what is needed.
PLEASE NOTE: This is not the same as your “change of name” statutory declaration.
Once you have filled in your statutory declaration it is necessary to have your signature to the statutory declaration witnessed by a person authorised to administer oaths. Please see the accompanying Guidance Notes for a list of those authorised to administer oaths. Please provide the information about the witness to the statutory declaration in the boxes 7.1 – 7.5 below.
7.1
D
D
/
M
M
/
Y
Y
Y
Y
Date of statutory declaration
7.2 Name of the authorised person who is the witness to the statutory declaration
7.3 Qualification which enables the authorised person to administer the statutory declaration
7.4 Address of the authorised person
7.5 Daytime contact telephone number of the authorised person
Applicant’s further information
7.6 Are you currently married?
Yes No
7.7 Are you currently in a civil partnership?
Yes No
7.8 If you have answered Yes, to either question 7.6 or 7.7
I am applying for an interim
Gender Recognition Certificate
I am applying for a full
Gender Recognition Certificate
8. Marriage (please complete this section if you are currently married).
You may apply to the Gender Recognition Panel for a GRC while remaining married if:
Your spouse will need to agree to the marriage continuing after your gender recognition by completing a statutory declaration.
8.1 Is your marriage a protected marriage or a Scottish protected marriage?
Yes
No
8.2. If your marriage is a protected marriage or a Scottish protected marriage do you and your spouse intend to remain married following your gender recognition
Yes
No
Please provide your original marriage certificate or a certified copy.
8.3 Has your spouse made a statutory declaration of consent?
Yes
No
8.4 If you answered Yes to 8.3, is it enclosed with this application?
Yes
No
Once section 8 is completed, please go to section 10.
9. Civil Partners
You may apply to the Gender Recognition Panel for a GRC while remaining in your civil partnership if:
Your partner will need to agree to the civil partnership continuing after your gender recognition by completing a statutory declaration.
If your civil partnership was registered in Scotland it is possible for both partners to apply for a Gender Recognition Certificate at the same time. If successful you can be granted your full certificates together without the need to first end your civil partnership.
9.1 Is your civil partnership a protected civil partnership (registered in England, Wales, Northern Ireland or outside of the UK)?
Yes No
If Yes, please answer 9.2 If No, please answer 9.5
9.2 Do you and your civil partner intend to remain in your protected civil partnership following your gender recognition?
Yes No
If Yes, please answer 9.3
If No, please go to section 10
9.3 Has your partner made a statutory declaration of consent?
Yes No
9.4 If you answered Yes to
9.3 is it enclosed with this application?
Yes No
9.5 Is your civil partnership protected Scottish civil partnership?
Yes No
If Yes please answer 9.6
9.6 Are both you and your partner applying for gender recognition at the same time?
Yes No
The fee for applying for a gender recognition certificate is outlined in a separate leaflet called T455 – ‘The General Guide for all users’.
If you qualify for a fee remission you can complete the form EX160 – ‘Apply for help with fees’ on paper or online. The guide EX160A – ‘How to apply for help with fees’ can give you more information on how to apply.
If you fail to provide evidence, or the correct fee, your application will not be processed until the Gender Recognition Panel receives the correct documentation or payment.
10.1 Are you required to pay a fee of £5?
Yes No, I’m applying for help with fees
Help with fees
I am applying for help with fees using the online service – gov.uk/help-with-court-fees
or
I am applying for help with fees and attach my application form EX160
If you have completed an online Help with Fees application, you will receive a Help with Fees reference number.
You should write this reference number in the box below.
H
W
F
–
–
Cheque – payable to HM Courts & Tribunals Service
Postal Order – payable to HM Courts & Tribunals Service
Debit/Credit card (please see below)
If you are required to pay a fee for your application, please indicate how you are paying it. If paying by cheque or postal order, you must include this with your application form.
If you would like to pay by Debit/Credit Card then please contact the GRP administrator on
+44 (0) 2039368963 within 10 days of receipt of application acknowledgment. We can only take card payments from you over the telephone.
For security purposes, please have your GRP reference number and password to hand.
This checklist will help you and the Gender Recognition Panel ensure that you have included everything that you are required to submit with your application. Please list every piece of evidence that you are including with your application. We will return documentation to you once it has been checked.
Documents
Enclosed
Statutory Declaration (Please note this document will not be returned)
Your spouse or civil partner’s statutory declaration, where appropriate
Your original birth certificate or a certified copy
If you are currently married your original marriage certificate or a certified copy
If you are currently in a civil partnership your original civil partnership certificate or a certified copy
A copy of your decree(s) dissolving the marriage or civil partnership
If your spouse or civil partner has died a copy of their death certificate
A copy of all change of name documents or other documents to show any changes from the name appearing on your birth certificate to your current name
Medical Report A – Please state the name of the medical report provider and the date of the report
Medical Report B – Please state the name of the medical report provider and the date of the report
Documents
Enclosed
Evidence of living full time in your acquired gender for at least 2 years prior to the date of application (List documents)
Please list any other letters or documents you have enclosed with your application
If your birth was registered in the UK, to process your application, the Gender Recognition Panel needs to pass your details to the relevant Registrar General. Similarly if your marriage or civil partnership was registered in England and Wales or Scotland and you are applying for gender recognition while remaining married or in a civil partnership, then the Panel will need to pass your details onto the appropriate Registrar General.
If you consent below, the Registrar General will contact you (if your application is successful) to inform you about options for your new birth certificate (and where appropriate a new marriage or civil partnership certificate).
I consent to the Registrar General contacting me in relation to the issue of a new birth/marriage/ civil partnership certificate, as appropriate.
I certify that all the information given in this application is correct to the best of my knowledge. I understand that to make a false application is an offence.
D
D
/
M
M
/
Y
Y
Y
Y
Signature of applicant Date
GRP
PO Box 9300
Leicester LE1 8DJ
You are strongly advised to send your application by registered post.
Section 22 of the Gender Recognition Act 2004 protects the information on your application form and information about your gender history if your application is successful. The data you provide will only be processed as permitted by the Act. It will be processed primarily for the purpose of determining your application (and any related legal proceedings) and for maintaining the Gender Recognition Register. The Guidance Notes to this application form and Explanatory Leaflet contain more information about how your data may be processed. Information about you will not be disclosed except where permitted by law, or where you have consented to it.
The Ministry of Justice is the Data Controller for the Gender Recognition Secretariat and Panel for the purposes of the Data Protection Act 1998. If you want to know more about what information we have about you, or the way we use your information, you can find details on the MoJ website www.justice.gov.uk/about/datasharingandprotection.htm
The Ministry of Justice and HM Courts and Tribunals Service processes personal information about you in the context of tribunal proceedings. For details of the standards we follow when processing your data, please visit the following address https://www.gov.uk/government/organisations/hm-courts-and-tribunals-service/about/personal- information-charter To receive a paper copy of this privacy notice, please call 0300 123 1024 Textphone 18001 0300 123 1024. If calling from Scotland, please call 0300 790 6234 Textphone 18001 0300 790 6234.
