Washington Birth Certificate Application (Form DOH 422-182) (DOH 422-182)
Official state formForm DOH 422-182Free downloadLast verified November 9, 2026
Form DOH 422-182 is the order form for a certified copy of a Washington State birth certificate, filed with the Washington State Department of Health, Center for Health Statistics.
Who can use this form
- The person named on the record
- A spouse or domestic partner, child, parent, stepparent or stepchild
- A sibling, grandparent, grandchild, great grandparent or great grandchild
- A legal guardian, legal representative or authorized representative
- A government agency or court, for official duties only
What to send with it
- The completed, signed and dated order form
- A copy of your identity document (do not send originals)
- A copy of your proof of eligibility document, if needed
- A check or money order payable to DOH (nonrefundable)
Where to send it
- Mail to
- Department of Health Center for Health Statistics PO Box 9709 Olympia, WA 98507-9709
- State fee
- $25 per certified copy
- Typical processing
- About 6 to 8 weeks
- Source
- Official government page