How do I update my Ontario identity documents with my new name and gender marker? 

To update your legal name on your Ontario driver's licence, or photo card, bring your original: 

• current Ontario driver's licence or photo card, and  
• change of name certificate 

If you also have a birth certificate with your updated information, bring that as well.  

To update your legal name on your Ontario vehicle permit, bring:  

• an acceptable identity document, such as your driver's licence, 
• the original vehicle permit, and  
• your change of name certificate.   

First document or expired document

If your current document is expired, or it's your first time applying for an Ontario driver’s licence, photo card, or vehicle permit then you may need more documents.  

You can change the gender marker on your Ontario driver's licence or photo card to:   

• M – male  
• F – female  
• X – non-binary   

X gender marker

If you want to change the gender marker on your Ontario driver's licence or photo card to X, you do not need any supporting documents. Only bring your current original Ontario driver's licence or photo card to a ServiceOntario location.  

M or F gender marker

To change the gender marker on your Ontario driver's licence or photo card from M to F or from F to M, you need supporting documents.  

Bring your current original Ontario driver's licence or photo card to a ServiceOntario location.  

If your birth certificate has your updated gender marker, bring your original, updated:   

• birth certificate,  
• birth certificate with parental information, or
• certified copy of birth registration.   

If you do not have a birth certificate with your correct gender marker, then you need to bring an original: 

1. letter from a health professional, and 
2. letter from you.  

Letter from health professional

This letter must be from either:  

• a doctor licensed by the College of Physicians and Surgeons of Ontario, or 
• a psychologist or psychological associate licensed by the College of Psychologists of Ontario.  

The letter must:  

• be on the doctor or psychologist's letterhead  
• be signed by the doctor or psychologist, and   
• say that the doctor or psychologist has examined or treated you, and that the change in the sex designation on your Ontario driver's licence or Ontario photo card to (add in preferred gender marker) is appropriate.   

You can give your health professional Rainbow Health Ontario's template letter as a guide.   

You do not need to have any gender-affirming surgery to update your gender marker. But if you had surgery, you can show documents from a recognized specialist instead of a letter from your doctor, psychologist, or psychological associate. For example, this might be documents from the Centre for Addiction and Mental Health (CAMH). You may want to call Service Ontario to ask if they will accept the documents you already have.  

Your letter

In your letter, you must include:   

• your full name,  
• your current address,  
• what change you want to make to your gender marker, 
• your driver's licence number or Ontario photo card number, depending on which you're changing, and  
• the name and address of the health professional who signed the letter in support of your gender marker change. 

First document or expired 

If your current document is expired, or it's your first time applying for an Ontario driver’s licence or photo card, then you may need more documents. 

To update your legal name on your OHIP card, bring your original change of name certificate and current OHIP card to a ServiceOntario location.  

You will need to fill out Form 014-0280-82E: Change of Information. Fill in Sections A, B, C, and G. In Section A, fill in the information on your current OHIP card. In Section C, fill in what your new name is.  

You can fill out this form in advance and bring it with you. Or Service Ontario will give you the form and you can fill it out there. 

If you're updating your name with OHIP at the same time, you can use the same form for both changes.  

First or expired OHIP card

If it's your first time applying for an OHIP card, then also bring all 3 standard documents needed to apply for OHIP.  

If your current OHIP card is expired, it's also best to bring these documents. These are documents that prove:  

• your identity 
• you live in Ontario 
• you have an immigration status that makes you eligible for OHIP 

Form 9998E-82: Ontario Health Coverage Document List, shows all the types of documents you can use. For example, you can use a rental agreement or property tax bill to prove you live in Ontario. Some of the documents you can use to prove that your  immigration status makes you eligible for OHIP include your:  

• birth certificate from a Canadian province or territory 
• Canadian citizenship certificate  
• Canadian permanent residence card 
• Canadian passport 

OHIP cards do not have a gender marker. But you can update your gender marker on the OHIP registration in the government's system.  

You can only update your gender marker on your OHIP registration to an M or F. There's no option to have X.  

To change your gender marker on your OHIP registration, you will need to fill out Form 014-0280-82E: Change of Information. Fill in Sections A, B, C, and G. In Section A, fill in the gender marker on your current OHIP card. In Section C, fill in what your updated gender marker is.  

You can fill out this form in advance and bring it with you. Or Service Ontario will give you the form and you can fill it out there.  

If you're also updating your name with OHIP at the same time, you can use the same form for both changes.  

Supporting documents

ServiceOntario's website does not say what documents you need to update your gender marker.  It's best to bring: 

• your current original OHIP card, and 
• a document with your updated name and gender marker that proves you're a Canadian citizen, or that you have an immigration status that makes you eligible for OHIP. 

If you do not have an updated document that you can use to prove your Canadian citizenship or immigration status, then you need to bring an original:  

1. letter from a health professional, and 
2. letter from you.  

Updated citizenship or OHIP-eligible immigration document

Some of the documents you can use to prove your Canadian citizenship or OHIP-eligible immigration status include your:  

• birth certificate from a Canadian province or territory 
• Canadian citizenship certificate  
• Canadian permanent residence card 
• Canadian passport 

Letter from a health professional

You may have got a letter from a health professional to change the gender marker on your Ontario driver's licence or photo card. You should be able to use the same letter to update your OHIP registration.  

If you do not have this letter, then you should get a letter from:  

• a doctor licensed by the College of Physicians and Surgeons of Ontario, or 
• a psychologist or psychological associate licensed by the College of Psychologists of Ontario.  

The letter must:  

• be on the doctor or psychologist's letterhead  
• be signed by the doctor or psychologist, and   
• say that the doctor or psychologist has examined or treated you, and that your gender identity does not accord with the sex designation on your OHIP registration and that they are of the opinion that the change in sex designation to (add in preferred gender marker) is appropriate.   

Your letter

Your letter should say that:  

• you have assumed or always had the gender identity that accords with the requested change in sex designation, and 
• you are living full time in that gender identity and intend to maintain it   

First or expired OHIP card

If it's your first time applying for an OHIP card, then also bring all 3 standard documents needed to apply for OHIP. If your current OHIP card is expired, it's also best to bring these documents. These are documents that prove: 

• your identity 
• you live in Ontario 
• you have an immigration status that makes you eligible for OHIP 

Form 9998E-82: Ontario Health Coverage Document List, shows all the types of documents you can use. For example, you can use a rental agreement or property tax bill to prove you live in Ontario.