As you know, I am from NC! I found a form on my soon to be new endo's website! It is a North Carolina Division of Motor Vehicles Sex Designation Form dated 2019! It has to signed by one of the following: 1) Physician, Psychiatrist, or Physician's Assistant 2) Licensed therapist, counselor, or Psychologist 3) Case worker or Social worker!
Toward the bottom of the form it states: submit the sex designation form OR a valid US passport with the requested sex OR birth certificate with the requested sex OR court order by US court granting change of sex or gender! Notice the word OR!
You also must surrender the old license, pay the fees for a new or amended license and have a new photo taken!
Change of name is another form and process!
That is really quite simple for here in NC!
I am almost proud of them! LOL
Hugs Lana Mae