Act 49 Contact Form

Legal Name

Question Title

* 1. Legal Name

Preferred Name

Question Title

* 2. Preferred Name

How Do You Identify?

Question Title

* 3. How Do You Identify?

Transman

Transwoman

Intersex

Other (please specify)

ID Number

Question Title

* 4. ID Number

Date of Application

Question Title

* 5. Date of Application

Application Reference Number

Question Title

* 6. Application Reference Number

Home Affairs office where application was made

Question Title

* 7. Home Affairs office where application was made

Email Address

Question Title

* 8. Email Address

Contact Number

Question Title

* 9. Contact Number

Other Relevant Information (including responses from DHA, telephone reference numbers, names of officials, treatment during application, difficulties experienced without correct ID, etc)

Question Title

* 10. Other Relevant Information (including responses from DHA, telephone reference numbers, names of officials, treatment during application, difficulties experienced without correct ID, etc)