Forms

Adoption

• Affidavit of Nondisclosure of a Biological Parent of an Adoptee (20KB PDF)
• Application for Adoption Registration (Form used to create a new birth certificate for an adopted child) (45KB PDF)

Birth Forms for Providers

• Washington State Birth Filing Form
  • English (141KB PDF)
  • Spanish (145KB PDF)
  • Female Domestic Partners (138KB PDF)
• Supporting Affidavit for Births (90KB PDF)

Certificate Ordering Forms

• Counter Request Form (41KB PDF)
• Mail-In Request Form (27KB PDF)

Other

• Application for Confidential Birth Information (64KB PDF)
• Affidavit for Correction (of a vital record) (57KB PDF)
• Search Request Form (of a vital record) (57KB PDF)

Note: These documents are in the Adobe Acrobat (PDF) format. If you are unable to view the publications on your computer, you may visit the DOH Viewer Page.  On this page, you will find a free viewer to use with your computer.

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Documents posted in PDF, Word, and other formats on the Department of Health Web site will be made available on request to users who are unable to download or view them. For persons with disabilities, PDF documents will be made available on request in other formats. To submit a request, contact the Web Coordinator. Download the free viewers here.

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Washington State Department of Health
111 Israel Rd SE, P.O. Box 47890
Olympia, Washington, 98504-7890

Last Update:  May 02, 2012
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