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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. (See page 4 for more information) If checked, provide the full name of the individual denying parentage: What PARENT labels would you like displayed on the BIRTH certificate? (If not selected, the default is Mother/Father) Mother/Father PARENT / PARENT CHILD 1.

− The Acknowledgment of Parentage (AOP) is a legally binding form. The legal basis for this form are chapters 26.26A and 26.26B of the Revised Code of Washington (RCW). − This form is voluntary and does not require a court proceeding. Alternatively, you may choose to establish parentage through state or tribal court.

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