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Instructions for Birth Certificate Order Form

Center for Health Statistics Box 9709. Olympia, WA 98507. 360-236-4300. DOH 422-182 July 2021. Instructions for Birth Certificate Order Form Carefully read these Instructions before completing and submitting the Birth Certificate Order Form. Chapter RCW and Chapter 246-491 WAC requires all applicants to be a qualified applicant, provide identity and proof of eligibility documentation, and provide required information to Order a Birth Certificate . Checklist for completing the Birth Certificate Order Form: Complete all fields on the Birth Certificate Order form, sign, and date A copy of your identity document(s). A copy of your proof of eligibility document(s).

To request this document in another format, call 1-800-525-0127. Deaf or hard of hearing customers, please call 711 (Washington Relay) or email civil.rights@doh.wa.gov . DOH 422-182 July 2021 . Instructions for Birth Certificate Order Form. Carefully read these instructions before completing and submitting the Birth Certificate Order Form.

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