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In 2018, Washington state began to allow "X" gender markers on official documents, with the law stating that
|«||"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 sex, transgender, transsexual, Two Spirit, and unspecified.||»|
- Jackman, Josh (5 January 2018). "Washington to recognise third gender in groundbreaking move". PinkNews. Retrieved 14 May 2020.
- "WAC 246-490-075: Changing sex designation on a birth certificate". Washington State Legislature. Retrieved 14 May 2020.