¹Defined along the lines of 'surgical, hormonal or other treatment clinically appropriate for the purpose of gender transition' ²In Indiana, both the state and counties have the power to issue and amend birth certificates. If a county amends, the record held by the state will not be amended, but both will be considered equally valid ³The lawsuit involving SB 180 only applies to driver's licenses, not birth certificates ⁴The Montana Office of Vital Records has not implemented the ruling on its website, but transgender Montanans report that changes are allowed when attaching the Gender Designation Form to an Affidavit for Correction of a Vital Record ⁵Surgery requirement may not always be enforced and is up to the discretion of individual judges ⁶May honour judgements from other states & territories ⁷Wording vague, territory may accept other medical proof of gender transition