Washington Parentage Verification Order Form (DOH 422-163)
Official state formRecord search and verificationForm DOH 422-163Free downloadLast verified November 10, 2026
Use this form to order a Parentage Verification letter (also known as a CBRI letter) or copies of filed Acknowledgment, Denial, Rescission or Assertion of Parentage forms. It is mailed to the Center for Health Statistics at the Washington State Department of Health.
Who can use this form
- Only the signatories of the Acknowledgment of Parentage form may request a Parentage Verification letter
- For a copy of a filed form, the requestor must be a signatory of the original document
What to send with it
- The completed order form, with information that matches the birth record
- A copy of the requestor's ID
- A check or money order payable to DOH. Do not send cash or credit card information
Where to send it
- Mail to
- Center for Health Statistics P.O. Box 9709 Olympia, WA 98507-9709
- State fee
- $15 per verification letter or form copy; $15 per apostille. First class mail at no additional charge; USPS Express Mail $26.35; FedEx $15 (continental US) or $25 (AK, HI, Canada, Mexico).
- Typical processing
- Not provided
- Form revision
- April 2023
- Source
- Official government page