Vital Records Online
 
 
Washington · Divorce

Washington Divorce Certificate Application (Form 422-104) (422-104)

Official state formForm 422-104Free downloadLast verified November 9, 2026

Form DOH 422-104 is the mail order form used to request a certified copy of a Washington divorce certificate. It is sent to the Washington State Department of Health, Center for Health Statistics.

Who can use this form

  • Divorce records are public, so anyone may order a copy
  • No ID or proof of relationship is required
  • The state holds divorce records from 1968 to the present

What to send with it

  • The completed order form
  • The names of both parties, the approximate month and year of the divorce, and the filing county
  • The nonrefundable fee by check or money order payable to DOH

Where to send it

Mail to
Department of Health Center for Health Statistics PO Box 9709 Olympia, WA 98507
State fee
$25 per certified copy
Typical processing
About 8 to 10 weeks
Back to Washington forms
Washington Divorce Certificate Application (Form 422-104) (422-104) | Washington Form