Form LIC108 "Massachusetts Gender Designation Change Form" - Massachusetts

What Is Form LIC108?

This is a legal form that was released by the Massachusetts Registry of Motor Vehicles - a government authority operating within Massachusetts. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on February 1, 2018;
  • The latest edition provided by the Massachusetts Registry of Motor Vehicles;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form LIC108 by clicking the link below or browse more documents and templates provided by the Massachusetts Registry of Motor Vehicles.

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Download Form LIC108 "Massachusetts Gender Designation Change Form" - Massachusetts

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Massachusetts Gender Designation
Change Form
Registry of Motor Vehicles
P.O. Box 55889 ● Boston, MA 02205-5889
The RMV can only accept original forms with original signatures.
Photocopies and faxes are not acceptable.
You must surrender the existing license or ID Card that is to be amended.
A. Applicant Information
(Name on current License/ID)
Last Name
First Name
Middle Name
Suffix
Social Security Number (Last 4 digits)
License/ID Number
Residential Address
Street
Apt. #
City
State
Zip Code
B. Gender Designation Statement
I (print name from above), ___________________________________________________________________________
wish the gender designation on my Driver’s License/ID Card to read:   Male  Female
Attestation
I hereby swear, under the penalty of perjury, that this request for the selected gender designation to appear on
my Driver’s License/ID Card is for the purpose of ensuring that my Driver’s License/ID Card accurately reflects
my gender identity and is not for any fraudulent or other unlawful purpose.
Signature: _________________________________________________________ Date: ________________________
(False statements are punishable by fine, imprisonment, or both. (MGL Chapter 90, Section 24B)
To Be Completed by RMV Personnel Only
RMV Clerk ID#: ___________________________ Date: ________________
p.1
LIC108_0218
Massachusetts Gender Designation
Change Form
Registry of Motor Vehicles
P.O. Box 55889 ● Boston, MA 02205-5889
The RMV can only accept original forms with original signatures.
Photocopies and faxes are not acceptable.
You must surrender the existing license or ID Card that is to be amended.
A. Applicant Information
(Name on current License/ID)
Last Name
First Name
Middle Name
Suffix
Social Security Number (Last 4 digits)
License/ID Number
Residential Address
Street
Apt. #
City
State
Zip Code
B. Gender Designation Statement
I (print name from above), ___________________________________________________________________________
wish the gender designation on my Driver’s License/ID Card to read:   Male  Female
Attestation
I hereby swear, under the penalty of perjury, that this request for the selected gender designation to appear on
my Driver’s License/ID Card is for the purpose of ensuring that my Driver’s License/ID Card accurately reflects
my gender identity and is not for any fraudulent or other unlawful purpose.
Signature: _________________________________________________________ Date: ________________________
(False statements are punishable by fine, imprisonment, or both. (MGL Chapter 90, Section 24B)
To Be Completed by RMV Personnel Only
RMV Clerk ID#: ___________________________ Date: ________________
p.1
LIC108_0218