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Get the free Lived Name and/or Gender Identity Information Form

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This form is designed for retirees, survivors, and former employees of the University of California to provide their lived name and/or gender identity. It includes sections for personal information, name preferences, gender identity selection, and required signature, while ensuring compliance with privacy regulations and state laws.
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How to fill out lived name andor gender

01
Identify the section on the form that asks for 'lived name' or 'gender'.
02
If filling out 'lived name', write the name you currently go by, which may differ from your legal name.
03
For 'gender', select or write the gender identity that you feel represents you best, such as male, female, non-binary, etc.
04
Ensure that spelling is accurate and that you've chosen the terms that resonate with your identity.
05
If the form allows for multiple options or a description, feel free to elaborate according to your preference.

Who needs lived name andor gender?

01
Individuals undergoing social transition who wish to be recognized by their lived name and gender.
02
Institutions and organizations that require this information for inclusivity, support, or administrative purposes.
03
Healthcare providers to ensure accurate medical care and communication.
04
Legal entities for documentation that reflects an individual's identity.
05
Any group or institution that aims to respect and acknowledge personal identities.
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Lived name refers to the name a person uses in daily life, which may differ from their legal name. Gender refers to the individual's personal identification as male, female, or non-binary.
Individuals who have changed their lived name or gender identity, as needed for documentation or official records, may be required to file.
To fill out lived name and/or gender, individuals should provide their current preferred name and gender identity in the designated fields on the form or application.
The purpose of reporting lived name and gender is to ensure that individuals are recognized by their chosen identity and that documents reflect their current personal identification.
The information that must be reported typically includes the individual's current lived name, gender identity, and any supporting documentation that verifies the change.
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