*** Transcriber's Note: Please set your voice synthesiser to read most punctuation. When you encounter the caret sign at the end of a line, please enter the applicable information, if necessary. *** BDM70 Tono whakahou i te tohu ira tangata ki te tiwhikete whānau Application to update sex marker on birth certificate Me whakamahi i tēnei puka hei whakahou i te tohu ira tangata ki tō tiwhikete whānau o Aotearoa mēnā i rēhitatia tō whānautanga mai i Aotearoa: • 18 ō tau, pakeke ake rānei, tērā rānei • 16, 17 rānei ō tau, kei te mārena, i mārena i mua, kei roto, i roto rānei i te hononga ā-ture, hononga ā-whare rānei. Use this form to update the sex marker on your New Zealand birth certifcate if your birth was registered in New Zealand and: • you are aged 18 or older, or • you are aged 16 or 17 and are, or have been, in a marriage, civil union or de facto relationship. Hei mua i te tononga Before you apply Guidelines for your new sex marker You will need to select one of the following sex markers: • female • male • non-binary. Contact details Website: govt.nz/bdm/contactus Email: bdm.nz@dia.govt.nz Only use email for queries about the form. To return the form, follow the postage instructions on page 11. Do not email the completed form to us. Timeframe To view our current timeframes for updating a sex marker on a birth certificate, go to: govt.nz/bdmtimeframes. If you have requested a certificate showing your new sex marker, allow extra time for postage. If your application is not correct and complete, your application may be delayed. Requirements You will need to: 1. Provide a certifed true copy of your current photo identifcation. 2. Make a statutory declaration on page 7-8 of this form. Refer to pages 2-3 for further information about these requirements. Include an official English translation of any document that is not in the English language. 1. Your current photo identifcation You must provide a certified true copy of one of the following. It must include your photo. • New Zealand or overseas passport (photo page only) • New Zealand or international driver licence (copy of front and back) • New Zealand or overseas frearms or dealer’s licence • New Zealand or overseas defence force or police service photo identity card • Overseas identity card • 18+ card or Kiwi Access Card (issued by Hospitality New Zealand) or overseas proof of age card A certified true copy is a photocopy that has been stamped or endorsed by an authorised person. For example, a solicitor/lawyer, notary public, registrar of the court or Justice of the Peace. This confrms that the copy is a true copy of the original document. If you do not have photo identification, you will need to fll out an Identity referee declaration form (BDM76). You can fnd this form at: govt.nz/birth-certifcate-sex. You must present your current photo identification or completed BDM76 Identity Referee Declaration form (with attached photo) to the person authorised to take a statutory declaration when you sign the declaration in front of them. They can certify your document at the same time. 2. Statutory declaration requirements A statutory declaration is a written statement signed in front of an authorised person and declared to be true. The people below are authorised to take a statutory declaration. New Zealand • Registrar of Births, Deaths and Marriages • Justice of the Peace • Registrar or a deputy registrar of the Supreme Court, Court of Appeal, High Court or a District Court • Person enrolled as a barrister and solicitor of the High Court • Any other person authorised by law to administer an oath Commonwealth country other than New Zealand • Commonwealth representative • Justice of the Peace • Notary Public • Judge • Commissioner of Oaths • Solicitor of the High Court of New Zealand • A person authorised by law to administer an oath for the purpose of judicial proceeding (examples below) Non-Commonwealth country • Commonwealth representative • Notary public • Judge • Solicitor of the High Court of New Zealand Examples of people authorised by the law of Australia, England, Wales, Ireland, Northern Ireland and Scotland to administer an oath for the purpose of judicial proceeding: Australia Australian Police are not authorised to take this statutory declaration unless you are in the Northern Territory. Australian pharmacists, optometrists and doctors are not authorised to take statutory declarations. • Judge • Notary public • Justice of the Peace • Solicitor of the High Court of New Zealand • Australian legal practitioner • Court clerk or registrar who certifes their authority to take an oath for a judicial proceeding • Commonwealth representative Also, if in Northern Territory • Commissioner for Oaths (by personal appointment) • Member of the Legislative Assembly • Member of the house of the Parliament of the Commonwealth elected to represent the Territory or a constituency in the Territory • Member of the police force who is 18 years or older Also, if in Queensland • Commissioner for Declarations • Conveyancer Also, if in South Australia • Commissioner for Afdavits Also, if in Western Australia • A mining registrar appointed under the Mining Act 1978 England or Wales • Judge • Comissioner of Oaths (by personal appointment) • Notary public • Justice of the Peace • Solicitor of the High Court of New Zealand • Solicitor • Barrister • Legal executive • Licensed conveyancer • Court clerk or registrar who certifes their authority to take an oath for a judicial proceeding • Commonwealth representative Ireland or Northern Ireland • Judge • Notary public • Justice of the Peace • Solicitor • Court clerk or registrar who certifes their authority to take an oath for a judicial proceeding • Commonwealth representative • Solicitor of the High Court of New Zealand Scotland • Judge • Notary public • Justice of the Peace • Commonwealth representative • Person authorised by the law of that country to administer an oath for the purpose of a judicial proceeding • Solicitor of the High Court of New Zealand Privacy statement The information provided on this form is collected under the Births, Deaths, Marriages, and Relationships Registration Act 2021 (the ‘BDMRR’ Act). A person who makes, or causes to be made, a false declaration on this form will be liable on conviction to a fne or term of imprisonment, or both. The new information will be held on a public register, and may generally be accessed by any person on application (e.g. as a certifcate or printout). The Department of Internal Afairs may also release it to certain government agencies and foreign registration authorities, as authorised by law. This form, the accompanying certifcate, and the details relating to your sex at birth will not be publicly available, except where the Registrar-General is satisfed the information is required in relation to the administration of an estate or trust, a marriage, or by order of a Court. A new birth registration will be made from the information provided. Corrections may be made as provided for in the BDMRR Act. The BDMRR Act governs access to registered information. Information about your rights to access and, where appropriate, correct the information is available on our website govt.nz/bdm or freephone 0800 22 52 52. Fees statement All fees are correct as at the form version date. All fees are in New Zealand dollars. This page has been left intentionally blank. Instructions: • You can complete this form by hand or on-screen using Adobe Reader. • You can use the Tab key to move to the next fillable form field in Adobe Reader. • You must still print off the application and sign where applicable by hand. • When you see this icon, it means you need to take extra care with your answers. 1. My name This is the current name on your birth certificate. All first and middle names ^ Surname ^ 2. My date of birth Date (dd/mm/yyyy) ^ 3. My place of birth Town/city ^ Country ^ 4. My contact details Phone number ^ Email ^ My preferred name for contact purposes 5. (If 16 or 17 years of age) I am, or have been, in a: Marriage Unchecked ^ Fill in date and place fields below Civil union Unchecked ^ Fill in date and place fields below De facto relationship Unchecked ^ Date of marriage or civil union (dd/mm/yyyy) ^ Place of marriage or civil union ^ The next section is the Statutory Declaration. You will need to sign it in front of an authorised person. Refer to pages 2-3 for the list of people authorised to take a Statutory Declaration. Statutory declaration Take care completing this statutory declaration as you may be required to do it again if there are errors. All corrections must be: • initialled • dated, and • witnessed by a person authorised to take a statutory declaration. 6. I, Enter the name you are currently known by. Full name ^ 7. of Enter your residential address. This cannot be a PO Box. Street number and name ^ Suburb ^ Town or city ^ Country ^ 8. a Enter your occupation. For example, ‘Landscape gardener’ or ‘Home-maker’. If you have no occupation, enter ‘No occupation’. Occupation ^ 9. I solemnly and sincerely declare that: • I identify as a person of the sex marker selected below; and • I understand that any future birth certificates will show the selected sex marker in the sex field. Select one: Female Unchecked ^ Male Unchecked ^ Non-binary Unchecked ^ 10. Fill out and sign this section before a person authorised to take a statutory declaration (Refer to pages 2-3 for the list of authorised people.) And I make this solemn declaration conscientiously believing the same to be true and by virtue of the Oaths and Declarations Act 1957. Declared at (Town or city, and country) ^ this day of (dd/mm/yyyy) by (Signature of applicant) ^ 11. The person authorised to take a statutory declaration must complete this section I am satisfied of the applicant’s identity because (tick one): I have sighted the applicant’s original photo identification document from the list on page 2 (write document name and number below). ^ Document name (e.g. New Zealand passport) ^ Document number (e.g. Passport number) ^ I have sighted the applicant’s photo on a fully completed BDM76 Identity Referee form. ^ Signature (Authorised person signs here) ^ Full name of authorised person ^ Qualification of authorised person ^ End of Statutory Declaration. Continue to sections 12-14 of the form. 12. Fees The application fee to update a sex marker is $55. Birth certificate (additional fee) You can order a birth certificate if you need a certifcate that shows your new sex marker. If you do not need a certificate to prove your new sex marker, this is optional. There are several types and packages of birth certificates that you can select from. Enter quantity: ^ Standard certificate $33 Forest style decorative certificate $35 Beach style decorative certificate $35 Two certificate package: beach style decorative and standard $55 Two certificate package: forest style decorative and standard $55 13. Birth certificate delivery If you have ordered a birth certificate, select a delivery method: Unchecked ^ I want the certificate(s) sent by standard post $0 Unchecked ^ I want the certificate(s) couriered to a New Zealand address $5 Unchecked ^ I want the certificate(s) couriered to an overseas address $15 - $30 Unchecked ^ Australia, Asia, Pacifc: $15 USA: $20 Europe: $25 Rest of world: $30 Includes: Azerbaijan, Armenia, Bulgaria, Bosnia and Herzegovina, Cyprus, Croatia, Greece, Georgia, Macedonia, Malta, Moldova Contact us if you are unsure whether we can deliver to your country. Contact information is on page 1. Delivery address: Delivery name ^ Street number and name ^ Suburb ^ Town or city ^ Country ^ Postcode ^ Complete the payment section on the last page of the form. 14. Payment Do not post cash or card. Do not email credit card details. Charge my credit or debit card (Visa, MasterCard, American Express, Prezzy Card): Card number ^ Card expiry date ^ Name on card ^ Cardholder signature ^ Next steps Print and sign the form. Post the form, appropriate fee(s), and documents to us. New Zealand office: Births, Deaths and Marriages Department of Internal Affairs PO Box 10-526 Wellington 6140 New Zealand Sydney office: Births, Deaths and Marriages Department of Internal Affairs GPO Box 365 Sydney New South Wales 2001 Australia London office: Births, Deaths and Marriages Department of Internal Affairs 1 Pall Mall East London SW1Y 5AU United Kingdom