Motion response 2026

The document is a Medical Certification and Authorization form for gender change, intended for applicants seeking to obtain a driver license or identification card under their preferred gender in California. It includes sections for the applicant's personal information, certification by the applicant, and sections to be completed by a licensed physician or psychologist regarding the applicant's gender identification status. The form emphasizes confidentiality of medical records and outlines instructions for completion, stating that failure to complete all required sections may result in application refusal.

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Click ‘Get Form’ to open the Medical Certification and Authorization (Gender Change) form in the editor.
In Section 1, enter your true full name, mailing address, date of birth, and contact information. Ensure all fields are filled accurately as this information is crucial for processing.
Proceed to Section 2 where you must sign and date the form, certifying that the information provided is true under penalty of perjury.
Section 3 requires completion by a licensed physician or psychologist. They will indicate your gender identification status—ensure they fill this out correctly.
In Section 4, the physician or psychologist must provide their details including name, examination date, medical license number, and contact information.
Finally, Section 5 needs the signature and date from the physician or psychologist to validate the certification.

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