Washington State Department of Health - Vital Records Forms · Washington state form
Acknowledgment of Parentage DOH 422-159
Use DOH 422-159 to establish a parent-child relationship and add a second parent to a child’s birth certificate when everyone agrees and no other person claims parentage.
- What this form is
- The Acknowledgment of Parentage is a legal form for a child’s birth parent and second parent to establish parentage. Both parents complete the required fields and sign in front of either a notary or a qualified third-party witness; both options are not required. The form explains the rights and responsibilities of signing, including financial support, and is filed with the Department of Health, Center for Health Statistics.
- Who needs it
- A child’s birth parent and second parent may use this form when everyone agrees and no other person claims to be the child’s parent.
- Why it needs a notary
- Both parents must sign before either a notary or a qualified third-party witness. If using a notary, notarization can be done online with a commissioned online notary.
- How to submit it
- Send the completed form with a check or money order payable to DOH to the Department of Health, Center for Health Statistics, at the mailing address printed in the form. The form says no payment is required when returned to the hospital within five days of birth.
Questions
Who can use the Acknowledgment of Parentage?
The child’s birth parent and second parent may use this form when everyone agrees and no other person claims to be the child’s parent. The form lists situations in which the second parent may qualify.
Do I need a notary for the Acknowledgment of Parentage?
Each parent must sign before either a notary or a third-party witness who meets the form’s requirements. If you choose a notary, signing can be done online with a commissioned online notary.
How do I submit DOH 422-159?
Mail the completed form and, when required, a check or money order payable to DOH to the Department of Health, Center for Health Statistics, at the address printed in the form. The form gives an exception for returns to the hospital within five days of birth.