Chapter 5 - Verification of Identifying Information
As part of the adjudication of immigration benefits requests, USCIS reviews evidence and biometrics submitted by the benefit requestor, as well as USCIS systems, to verify identifying information.
In general, the requestor’s full legal name is comprised of his or her:
Given name (first name);
Middle name(s) (if any); and
Family name (last name).
The legal name is one of the following:
The requestor’s name at birth as it appears on the birth certificate (or other qualifying identity documentation when a birth certificate is unavailable); or
The requestor’s name following a legal name change.
For purposes of requesting immigration benefits, a married person may use a legal married name (spouse’s surname), a legal pre-marriage name, or any form of either (for example, hyphenated name, pre-married name or spouse’s surname). Requestors must submit legal documentation, such as that listed below, to show that the name used is the requestor’s legal name:
Civil marriage certificate;
Country identity document;
Foreign birth certificate;
Certificate of naming; or
Construction of Foreign Names
Construction of foreign names varies from culture to culture. For example, certain countries’ birth certificates display names in this order: family name, middle name, given name. This is in contrast to most birth certificates issued in the United States, which display names in this order: given name, middle name, family name.
Where a person claims to have legally changed his or her gender, USCIS may recognize that claim based upon the following documentation:
A court order granting change of sex or gender;
A government-issued document reflecting the requested gender designation. Acceptable government-issued documents include an amended birth certificate, a passport, a driver’s license, or other official document showing identity issued by the U.S. government, a state or local government in the United States, or a foreign government; or
A letter from a licensed health care professional certifying that the requested gender designation is consistent with the person’s gender identity. Generally, a licensed health care professional includes licensed counselors, nurse practitioners, physicians (Doctors of Medicine or Doctors of Osteopathy), physician assistants, psychologists, social workers, and therapists.
If submitting a health care certification letter,  the letter must include the following information:
The health care professional's full name, address, and telephone number;
The health care professional’s license number and the issuing state, country, or other jurisdiction of the professional license;
Language stating that the health care professional has treated or evaluated the person in relation to the person’s gender identity; and
The health care professional’s assessment of the person’s gender identity.
USCIS may request additional evidence of the person’s gender identity, as necessary to verify the requested change in gender designation.
[^ 1] There may be instances in which a birth certificate is unobtainable because of country conditions or personal circumstances. In these instances, a requestor may submit secondary evidence or affidavits to establish his or her identity. Any affidavit should explain the reasons primary evidence is unavailable. For more information, see the Department of State (DOS) Reciprocity Tables for identity documents that cannot be obtained in particular countries and during specific time periods. Asylum applicants may be able to establish their identity, including their full legal name, with testimony alone.
[^ 3] For more information, see 8 Foreign Affairs Manual (FAM) 403.1, Name Usage and Name Change.
[^ 4] Proof of sex reassignment surgery or any other specific medical treatment is not required to show changed gender; a licensed health care professional’s certification is sufficient.
44 U.S.C. 31 - Federal Records Act of 1950, as amended - Records management by federal agencies
5 U.S.C. 552 - Freedom of Information Act - Public information; agency rules, opinions, orders, records, and proceedings
5 U.S.C. 552a - Privacy Act of 1974, as amended - Records maintained on individuals
8 CFR 103.2 - Submission and adjudication of benefit requests
Delegation of Authority 0105.1 - Delegation to the Bureau of Citizenship and Immigration Services
INA 291 - Burden of proof upon alien
Pub. L. 107-296 (PDF) - Homeland Security Act of 2002
No forms available at this time.
To Whom It May Concern:
I am a licensed [counselor, nurse practitioner, physician, physician assistant, psychologist, social worker, or therapist], and I have treated or evaluated [patient’s name] in relation to [patient’s name]’s gender identity. In my professional opinion, [patient’s name]’s gender identity is consistent with a designation of [male or female].
Date of Birth:
Healthcare Professional’s Information:
Organization (if any):
License Type: [counselor, nurse practitioner, physician, physician assistant, psychologist, social worker, or therapist]
Issuing State, Country, or other Jurisdiction of License:
[Healthcare Professional’s Signature]
[Healthcare Professional’s Printed Name]
[^ 1] This format and language is one example of an acceptable healthcare certification letter; officers should accept other language and formats as long as they satisfy the requirements set out in Chapter 5, Verification of Identifying Information, Section C, Personal Information, Subsection 2, Gender [1 USCIS-PM E.5(B)(2)].
U.S. Citizenship and Immigration Services (USCIS) is updating and incorporating relevant Adjudicator’s Field Manual (AFM) content into the USCIS Policy Manual. As that process is ongoing, USCIS has moved any remaining AFM content to its corresponding USCIS Policy Manual Part, in PDF format, until relevant AFM content has been properly incorporated into the USCIS Policy Manual. To the extent that a provision in the USCIS Policy Manual conflicts with remaining AFM content or Policy Memoranda, the updated information in the USCIS Policy Manual prevails. To find remaining AFM content, see the crosswalk (PDF) between the AFM and the Policy Manual.
This technical update is part of an initiative to move existing policy guidance from the Adjudicator’s Field Manual (AFM) into the Policy Manual. This update does not make major substantive changes but consolidates and incorporates existing AFM guidance into the Policy Manual, streamlining USCIS’ immigration policy while removing obsolete information. This guidance replaces Chapters 1, 3.4, 10.2, 10.3(a), 10.3(c), 10.3(e), 10.3(i), 10.4, 10.22, 11.1(c), 13, 14, 17, 23.8, 31.7, 33.10, 34.5, 35, 41.6, 42, 44, 56.1, 56.3, 56.4, 62, 81, 82, 83.1, 83.2, and 83.3 of the AFM, related appendices, and policy memoranda.
This technical update replaces all instances of the term “foreign national” with “alien” throughout the Policy Manual as used to refer to a person who meets the definition provided in INA 101(a)(3) [“any person not a citizen or national of the United States”].