Washington State Department of Health - Vital Records Forms · Washington state form
DOH 422-159 Acknowledgment of Parentage
Spanish-language form for a birth parent and second parent to establish parentage and add the second parent to a child’s birth record.
- What this form is
- Use this legal form to establish a parent-child relationship and add a second parent to a child’s birth record. The birth parent and second parent complete the required fields and sign in the presence of either a notarial officer or a qualified witness. The form includes declarations about rights and responsibilities, instructions, and information about denying parentage.
- Who needs it
- A birth parent and second parent may use this form when both agree and no other person claims to be the child’s parent.
- Why it needs a notary
- Each parent must sign before a notarial officer or a qualified witness. For online notarization, use a commissioned online notary; a witness is an alternative.
- How to submit it
- Mail the completed form with the required $18 check or money order payable to DOH to Department of Health, Center for Health Statistics, PO Box 9709, Olympia, WA 98507.
Questions
Who can use Form DOH 422-159?
The form may be used when the birth parent and second parent agree to establish parentage and no other person claims to be the child’s parent.
Does Form DOH 422-159 need to be notarized?
Each parent must sign before either a notarial officer or a qualified witness. If choosing notarization, the signature can be notarized online with a commissioned online notary.
How do I submit the completed form?
Mail the completed form and required $18 check or money order payable to DOH to the Department of Health, Center for Health Statistics, PO Box 9709, Olympia, WA 98507.