An example of Indiana's commercial drivers license Photo: Indiana BMV

An example of Indiana's commercial drivers license Photo: Indiana BMV

Indiana, the conservative Midwestern state dubbed “the middle finger of the south,” has begun issuing gender neutral drivers licenses and state ID cards. The cards will us an “X” instead of the usual “M” or “F” to indicate the holder’s gender is nonbinary.

Susie Guyer, BMV executive director of marketing and communications, told the NorthWest Indiana Times that the state updated the gender options to match the American Academy of Motor Vehicle Administrators recommendations.

Applicants can request the X identifier by submitting a physician’s note or an amended birth certificate.

Related: The International Building Code is changing to recommend gender neutral bathrooms

Arkansas, California, Colorado, Maine, Minnesota, Oregon, and Washington DC currently offer gender neutral gender options for state IDs and drivers licenses.