Get Au Medical Practitioners Statutory Declaration

Filling out the AU Medical Practitioners Statutory Declaration is an important process for confirming a change of sex on a birth certificate. This guide provides clear instructions to help users complete the form accurately and confidently.

Follow the steps to successfully complete the declaration online.

1. Click ‘Get Form’ button to access the AU Medical Practitioners Statutory Declaration and open it in your preferred editor.
2. Enter the full name of the medical practitioner in the designated field.
3. Provide the surgery address where the medical practitioner is located.
4. Fill in the Medicare provider number accurately.
5. Include the daytime telephone number for contact purposes.
6. Tick the box indicating the medical practitioner is registered in the Commonwealth.
7. In the field provided, enter the full name of the person who has undergone sexual reassignment surgery.
8. Confirm the identity of the individual by verifying it against the documents presented.
9. Acknowledge that the individual has undergone sexual reassignment surgery, specifying the old sex and the new sex in the respective fields provided.
10. Make the solemn declaration by filling in the location and date where the declaration is being made.
11. Sign the form in the designated area for the medical practitioner.
12. Obtain a witness signature and have the witness fill in their full name and telephone number.
13. Review all entered information for accuracy, then save changes, download, print, or share the completed form as needed.

Complete your AU Medical Practitioners Statutory Declaration online today.