Transcription of BIRTH PARENT PARENT
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BIRTH PARENT PARENT
Center for Health Statistics Box 9709 Olympia, WA 98507 360-236-4300 Fees: $18 Filing Fee ACKNOWLEDGMENT OF PARENTAGE THIS IS A LEGAL DOCUMENT DOH 422-159 March 2021 COMPLETE IN INK AND DO NOT ALTER READ THE INSTRUCTIONS CAREFULLY ON PAGES 3 & 4. ITEMS 1-29 ARE REQUIRED. Only check this box if another person will be denying parentage.
If you want to order a birth certificate with both parents listed, you must submit a Certificate Order Form and all required documents referenced on the Certificate Order form instructions page, as well as a $25 check or money order payable to DOH. Send all forms and payments to: Department of Health . Center for Health Statistics
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