Washington Request to Change Sex Designation on a Birth Certificate for a Minor (DOH 422-144)
Official state formSex designation changeForm DOH 422-144Free downloadLast verified November 10, 2026
A parent or legal guardian uses this form to ask for a change of the sex designation on the birth certificate of a minor born in Washington State. A licensed health care provider must also sign it. It is mailed to the Center for Health Statistics at the Department of Health.
Who can use this form
- A parent or legal guardian, on behalf of a minor (under 18 and not emancipated) born in Washington State
- Legal guardians must include proof of legal guardianship, such as a certified court order
- A licensed health care provider or licensed mental health care provider must complete and sign the attestation section
What to send with it
- The request form, completed and signed by the parent or legal guardian and by the licensed health care provider
- A certified legal name change court order, if the child's name has been legally changed
- Optional: a completed certificate order form, the documents it requires, and a $25 check or money order
- Optional: a certified copy issued less than one year ago, to exchange it at no charge
Where to send it
- Mail to
- Center for Health Statistics Department of Health PO Box 47814 Olympia WA 98504
- State fee
- There is no fee to amend the record. $25 per certificate ordered with the request.
- Typical processing
- Three business days to process; allow up to two weeks for delivery, per the office's sex designation change page
- Form revision
- July 2022
- Source
- Official government page