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Washington Application to Amend a Birth Certificate (DOH 422-310)

Official state formCorrections and amendmentsForm DOH 422-310Free downloadLast verified November 10, 2026

Use this application to fix or update items on a Washington birth certificate. It is mailed to the Center for Health Statistics at the Washington State Department of Health. It is not for adoptions, adding or removing a parent, or legal name changes.

Who can use this form

  • If the child on the certificate is under 18: the parents listed on the certificate or a legal guardian appointed by the court
  • If the child is 18 or older, or legally emancipated: the person named as the child on the certificate or a legal guardian appointed by the court
  • Not for changing a sex designation for reasons other than a data entry error

What to send with it

  • Pages 3 and 4 of the application, filled out in blue or black ink
  • A copy of a government-issued photo ID for every person who signs the application
  • Supporting proof documents that show the full name and date of birth of the person whose information is being amended
  • Proof that you qualify to ask for the amendment, if needed
  • Optional: a certificate issued within the last year for a free exchange, or a certificate order form with payment

Where to send it

Mail to
Center for Health Statistics Attn: Amendments PO Box 47814 Olympia, WA 98504-7814
State fee
Not provided
Typical processing
4 to 6 weeks, per the office's amendment page
Form revision
November 2026
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Washington Application to Amend a Birth Certificate (DOH 422-310) | Washington Form