From the Driver License Procedure Manual

POLICY

• The applicant must present documentation from any physician stating the applicant underwent sex change surgery or a letter from a qualified therapist stating the applicant is living full-time as the desired gender as part of gender reassignment therapy. (Exception: No verification is necessary if the change is to correct a typographical error on the current driver license, instruction permit, or identification card. Do not charge a duplicate fee to correct a typographical error.)
• If, after changing the sex designation, the applicant decides that he/she no longer wishes to continute the gender reassignment therapy, the applicant must present a letter from any physician indicating that the applicant is no longer participating in gender reassignment therapy.
• If an applicant with a previous Oregon record moves back to oregon and underwent sex change surgery outside of Oregon, the applicant must present a letter from any physician verifying the surgery.
• If an applicant with a previous Oregon record moves back to Oregon and began the gender reassignment therapy outside of oregon, the applicant ust present a letter from a qualified therapist stating the applicant is living full-time as the desired gender as part of gender reassignment therapy.
• Charge the appropriate duplicate fee. If the applicant is eligible to renew, charge only the renewal fee.
• If the customer is also changing his/her name, the applicant must present one proof of identification in the previous name and one proof of identification in the new name. You may accept the letter from the therapist as proof of the new name if the new name information is included in the letter.
• Use the customer identification number previously assignmed to the applicant.

PROCEDURE

1. View documentation from the physician stating the applicant underwent sex change surgery or stating the applicant is living full-time in the desired gender.
2. If the applicant is also changing his/her name, verify applicant's proof of identity. The applicant must submit one proof in the previous name and one proof in the new name.
3. Return the documentation to applicant.
4. Correct the sex designation in the "Sex" field in CIS.
5. Process as a duplicate or renewal, as appropriate.
6. Complete the duplicate or renewal tranaction