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 h English (en)In 2018, Washington state began to allow "X" gender markers on official documents<ref name="Jackman">{{Cite web |title=Washington to recognise third gender in groundbreaking move |last=Jackman |first=Josh |work=PinkNews |date=5 January 2018 |access-date=14 May 2020 |url= https://www.pinknews.co.uk/2018/01/05/washington-to-recognise-third-gender-in-groundbreaking-move/}}</ref>, with the law stating that {{quote|"X" means a gender that is not exclusively male or female, including, but not limited to, [[intersex]], [[agender]], [[amalgagender]], [[androgynous]], [[bigender]], [[demigender]], female-to-male, [[genderfluid]], [[genderqueer]], male-to-female, [[neutrois]], [[nonbinary]], [[pangender]], [[third gender|third sex]], [[transgender]], [[transsexual]], [[Two Spirit]], and unspecified.<ref name="washington">{{Cite web |title=WAC 246-490-075: Changing sex designation on a birth certificate. |author= |work=Washington State Legislature |date= |access-date=14 May 2020 |url= https://app.leg.wa.gov/WAC/default.aspx?cite=246-490-075}}</ref>}}