
- Revise policy and procedures (e.g. RM 10212.200 Changing Numident Data for Reasons other than Name Change) that effect transgender Americans so they are based on standards and recommendations of the World Professional Association for Transgender Health (WPATH), recognized by the American Medical Association as the authority in this field.
- Immediately revise policy RM 10212.200 to be continuous with the US Department of
State's policy guidelines regarding gender/sex change in passports and Consular Reports of Birth Abroad.
No reasonable explanation has been given as to why the policy conflicts with the Department of State's, so we also ask that a review of federal policy and procures be conducted across all federal agencies to make them continuous in this regard. Our pleas have been falling on deaf ears at the SSA, and legal action backed by national advocacy groups is close at hand. Please save everyone a great deal of aggravation with this nominal act of solidarity.
Our SINCEREST thanksl

Here are the policies referred to:
SSA : RM 10212.200 Changing Numident Data for Reasons other than Name Change.
U.S. Department of State: Identification Requirements for Gender Reassignment Applicants.