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FORM 115.41GI (5/19)Photocopy Locally As NeededSTATE OF NEW YORK DEPARTMENT OF CORRECTIONS AND COMMUNITY SUPERVISION Gender Identity Interview Correctional FacilityInmate Name: DIN: DATE: Completed

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How to fill out gender identity interview

01

To fill out a gender identity interview, follow these steps:

02

Read through the questions carefully to understand what information is being asked.

03

Begin by providing your personal information, such as your name, date of birth, and contact details.

04

Answer the questions about your assigned sex at birth and the gender identity you identify with.

05

Provide information about any gender dysphoria diagnosis or treatments you have received.

06

Answer questions regarding your experiences with gender expression and societal gender norms.

07

Share any challenges or discrimination you have faced due to your gender identity.

08

Provide details about any legal or medical changes you have made to align with your gender identity.

09

Review your answers and make any necessary edits or corrections.

10

Sign and date the interview form to authenticate your answers.

11

Submit the completed gender identity interview form through the designated process or to the relevant authority.

Who needs gender identity interview?

01

A gender identity interview is typically needed by individuals who are seeking legal recognition of their gender identity or are undergoing a gender transition process.

02

This includes transgender individuals who wish to change their gender marker on identification documents (such as passports, driver's licenses, or birth certificates) or access gender-affirming treatments and procedures.

03

It may also be required for individuals seeking gender-related legal protections, such as anti-discrimination laws or access to gender-specific services and facilities.

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What is gender identity interview?

Gender identity interview is a process where individuals provide information about their gender identity.

Who is required to file gender identity interview?

Individuals who are undergoing a legal gender change or identification change are required to file a gender identity interview.

How to fill out gender identity interview?

To fill out a gender identity interview, individuals must provide truthful and accurate information about their gender identity and any legal changes.

What is the purpose of gender identity interview?

The purpose of a gender identity interview is to verify the accuracy of an individual's gender identity and legal changes.

What information must be reported on gender identity interview?

Information such as previous gender identity, legal name changes, and reasons for the gender change must be reported on a gender identity interview.

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