WA Birth Certificate Mail Order Form (DOH 422-182)

What is DOH 422-182?

DOH 422-182 is the Washington State Department of Health's mail order form for a birth certificate. The Center for Health Statistics issues certificates only to qualified applicants: the person on the record and close relatives, legal guardians and representatives, and government agencies or courts for their official duties.

The July 2025 edition has two pages of instructions and a one-page order form: who is ordering and where to mail the certificate, your relationship to the person on the record, the details of the birth record, two statements you tick, your signature, and the fee table.

FileIt asks each question in plain English, works out the fee from the prices printed on the form, prints your answers onto DOH's own PDF and saves it in your vault, ready to print, sign and mail.

Who fills it: A qualified applicant: the person on the record, a relative, a legal guardian or representative, an agency or a court
Sent to: Department of Health, PO Box 9709, Olympia WA 98507-9709 (as printed on the form)
Fees on the form: $25 per certified certificate, $50 per heirloom certificate, $15 per apostille; first-class mail free
Payment: Check or money order payable to DOH; nonrefundable
Edition: DOH 422-182 (July 2025)
Pages: 3 (2 of instructions, 1 order form)

Who needs to fill out DOH 422-182?

Anyone born in Washington State who needs a certified copy of their birth certificate, for example for a passport, a driver's license or school.
Spouses or domestic partners, children, parents, stepparents, stepchildren, siblings, grandparents, grandchildren and great-grandparents or great-grandchildren of the person on the record.
Legal guardians, legal representatives and authorized representatives.
People entitled to a fee waiver: a certified certificate for a Veterans Administration claim, for a homeless person, or for school enrollment of a child receiving DSHS food assistance.

When to use DOH 422-182

When you want to order by mail and pay by check or money order.
When you need an apostille so the certificate can be used in another country.
When you want an Heirloom birth certificate, the decorative version signed by the Governor and the State Registrar.

What you need before you start

The full name on the certificate, the date of birth and the city or county of birth.
The first and last name of every parent listed on the record, with the mother's or parent's last name before her first marriage.
A copy (not the original) of one government-issued photo ID that is current or expired less than 60 days, or at least two alternate documents from DOH's list.
A copy of your proof of eligibility if your ID alone doesn't link you to the record, such as a birth or marriage certificate or a court order.
A check or money order made payable to DOH, unless you qualify for a fee waiver.

What’s on DOH 422-182

The 2025 edition has 3 pages. FileIt asks for it in 4 parts, and it is signed by Applicant:

Applicant informationApplicant
Birth record detailsApplicant
Order type, quantity and feeApplicant
Documents and sworn statementApplicant

How to fill out DOH 422-182, step by step

1 Applicant information

Your name, the address DOH mails the certificate to, and a daytime phone number and email. The address must be one where you are registered to receive mail. If it isn't, enter the registered person's name and 'C/O' before yours, as the instructions show.

2 Relationship

Tick your relationship to the person on the record. Only the 16 listed relationships qualify, and the last two (government agency, courts) are for official duties only.

3 Birth record details

The certificate holder's first, full middle and last names, date of birth, city, county and country of birth, and the names of the parents listed on the record. FileIt can pre-fill the holder from the family member you picked.

4 Statements and signature

Tick that you have included copies of your identity and eligibility documents and the fee, and the sworn statement under penalty of perjury, then sign and date the form.

5 Fees or fee waiver

Enter how many certified certificates, heirloom certificates and apostilles you want (with the country requesting the apostille). FileIt ticks the rows, prints each line total and the total due. For a fee waiver, choose the waiver and the number of certificates instead.

Common mistakes to avoid

Sending your original ID instead of a copy.
Leaving out a parent who is listed on the record, or giving the mother's married name instead of her name before her first marriage.
Using an address where you aren't registered to receive mail, without a 'C/O' line.
Forgetting to tick the sworn statement or to sign the form.
Paying with anything other than a check or money order made payable to DOH.

After you fill it out

Print the order form from your FileIt vault, sign and date it.

Put the form, copies of your ID and proof of eligibility, and the check or money order in one envelope to the address on the form. A request with a correction goes to Center for Health Statistics, Attn: Corrections, PO Box 47814, Olympia, WA 98504-7814 instead. FileIt does not send anything to DOH.

Note your check or money order number: DOH asks for it, and the date it was cashed, if you call to confirm your order was received.

Fill out DOH 422-182 online with FileIt

Pick the person. Choose someone from People and FileIt fills in their name, date of birth, address and other details it already knows.
Answer plain-language questions. One part of the form at a time, with the official help text beside each question — 46 fields in all. Your answers save as you go.
Check the live preview. Watch your answers land on the real Washington State Department of Health — Center for Health Statistics form, and let FileIt do any worksheet arithmetic.
Generate the official PDF. FileIt prints your answers into the agency’s own PDF and files it in that person’s folder in your vault. Sign it, or send it for e-signature.

FileIt fills the form — it never files or submits anything for you. Deliver the finished form to whoever asked for it, the way the form’s instructions say.

Start DOH 422-182 now — it’s free

DOH 422-182: frequently asked questions

How much does a Washington birth certificate cost by mail?

The July 2025 form lists $25 for each certified certificate, $50 for each heirloom certificate and $15 for each apostille, with first-class mail at no extra charge.

Can anyone order a Washington birth certificate?

No. Only qualified applicants listed on the form can, and they must send identity documents and, where their ID doesn't link them to the record, proof of eligibility.

Is there a refund if no record is found?

No. DOH gives no refunds if a record can't be located or your documents don't prove you are eligible.

Can I get the fee waived?

The form has fee waivers for a certified certificate for a Veterans Administration claim, for a homeless person, and for school enrollment of a child receiving DSHS food assistance.

Does FileIt mail the form for me?

No. FileIt fills in the official PDF and saves it in your vault. You print, sign and mail it yourself.

Official sources

Blank form (PDF), published by Washington State Department of Health — Center for Health Statistics: https://doh.wa.gov/sites/default/files/2025-07/422-182-BirthCertificateOrderForm.pdf
Official instructions and guidance: https://doh.wa.gov/licenses-permits-and-certificates/vital-records
Edition shown on this page: DOH 422-182 (July 2025) (checked 2026-10-25).

FileIt is not affiliated with or endorsed by Washington State Department of Health — Center for Health Statistics or any government. This page explains the form in general terms and is not legal, tax or immigration advice. Always read the official instructions, and check that you are using the edition the recipient accepts. Page last reviewed 2026-10-25.